2018 VBS Registration ~ Shipwrecked ~ July 16-20
Please use this form to give us important information about your child(ren)! For more information on this awesome week, contact Darlene Maginley: darlenemaginley@fpcp.net. (Reminder: Scholarships are available. Please contact Darlene Maginley for more information: darlenemaginley@fpcp.net)
VBS registration starts on April 30 and runs through the first day of VBS (July 16).
Last Name *
Your answer
E-Mail Address *
Your answer
Parent(s) Name(s) *
(First and Last)
Your answer
Address *
# and Street/City/Zip
Your answer
Parent Phone Number *
cell
Your answer
Parent Phone
home/other
Your answer
Emergency Contact *
Name
Your answer
Emergency Contact Number *
Your answer
Emergency Contact - Relation to Child(ren) *
Is First Presbyterian Church of Plymouth your home church? *
If you answered "no" to the previous question, what is your current church affiliation?
Your answer
If you are not a member of the First Presbyterian Church of Plymouth, would you like to receive information about our church?
Child 1 - First Name *
Your answer
Child 1 - Gender *
Child 1 - Birthdate *
MM
/
DD
/
YYYY
Child 1 - Last Grade Completed *
Child 1 - Food allergies or special circumstances?
Please list all allergies/special needs indicated by parent.
Your answer
Child 1 - T-Shirt Size (if ordering)
Please note that we can't guarantee t-shirts if you are registering after June 30. We might get lucky and have an extra, otherwise we will refund any t-shirt money paid.
Child 2 - First Name
Your answer
Child 2 - Gender
Child 2 - Birthdate
MM
/
DD
/
YYYY
Child 2 - Last Grade Completed
Child 2 - Food allergies or special circumstances?
Please list all allergies/special needs indicated by parent.
Your answer
Child 2 - T-Shirt Size (if ordering)
Please note that we can't guarantee t-shirts if you are registering after June 30. We might get lucky and have an extra, otherwise we will refund any t-shirt money paid.
Child 3 - First Name
Your answer
Child 3 - Gender
Child 3 - Birthdate
MM
/
DD
/
YYYY
Child 3 - Last Grade Completed
Child 3 - Food allergies or special circumstances?
Please list all allergies/special needs indicated by parent.
Your answer
Child 3 - T-Shirt Size (if ordering)
Please note that we can't guarantee t-shirts if you are registering after June 30. We might get lucky and have an extra, otherwise we will refund any t-shirt money paid.
Child 4 - First Name
Your answer
Child 4 - Gender
Child 4 - Birthdate
MM
/
DD
/
YYYY
Child 4 - Last Grade Completed
Child 4 - Food allergies or special circumstances?
Please list all allergies/special needs indicated by parent.
Your answer
Child 4 - T-Shirt Size (if ordering)
Please note that we can't guarantee t-shirts if you are registering after June 30. We might get lucky and have an extra, otherwise we will refund any t-shirt money paid.
Child 5 - First Name
Your answer
Child 5 - Gender
Child 5 - Birthdate
MM
/
DD
/
YYYY
Child 5 - Last Grade Completed
Child 5 - Food allergies or special circumstances?
Please list all allergies/special needs indicated by parent.
Your answer
Child 5 - T-Shirt Size (if ordering)
Please note that we can't guarantee t-shirts if you are registering after June 30. We might get lucky and have an extra, otherwise we will refund any t-shirt money paid.
Registration fees *
T-Shirt Costs
Pricing for kids' shirts (if you choose to order). Note: Volunteer shirts are provided free of cost.
MP3 or CD
This year, we're offering options as many people use iPods for their music. Which would you prefer?
Will you be paying online or in person? *
Total amount to be paid: *
Your answer
Any questions? Please leave below!
Your answer
Finally, are you interested in volunteering during VBS week?
You can sign up for specific positions by contacting Darlene Maginley at DarleneMaginley@fpcp.net or placing your name on the poster board in the Narthex.
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