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Ocean Mission
Exploring God's Love
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* Indicates required question
Household's Name
*
Your answer
Names, ages and grades of children participating in your household. If you are signing up more than one household, please use one form for each. (ex. Jane, age 9, going into grade 3)
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Your answer
Home Church (if appropriate)
Your answer
Main Contact Person Information
Must be at least 18 years old.
Name
*
Your answer
Relation to Child/Children
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Your answer
Phone Number(s)
*
Your answer
Address
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Your answer
Email (Optional)
Your answer
Photo Permission
I give Clarkston United Methodist Church permission to use photos and videos of my child and their work in future promotion of Clarkston United Methodist Church ministries. During the Vacation Bible School at Home, participants are encouraged to send photos and videos to be shared.
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Yes
No
Allergies
Please list all known allergies, including Food and Other. These will be important as we put together snacks and supplies to ensure a safe and fun time for everyone.
Food allergy
Your answer
Other allergies
Your answer
Current medical conditions or learning challenges that VBS staff should know about
Your answer
Restrictions to activities (what cannot be done or needs to be adapted)
Your answer
Some of the supplies that will be sent home will be choking hazards, and therefore geared for kids ages 3 and up. Do you agree to take the necessary precautions to keep all participants safe and to supervise children during all activities?
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Yes, and I promise to hold Clarkston United Methodist Church harmless
We want to make sure that you have all of the supplies that you need. Below is a list of items that are used throughout the week. Please check the ones you need!
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Fine-Point Permanent Markers (several colors)
Kid-friendly scissors
Pencil Sharpener
Pencil
Crayons
A small amount of Pepper
Napkins/Paper towels or washcloths
Sidewalk Chalk
Container for holding water outside (for example, an ice cream bucket or big bowl)
Nothing (I have all of the above supplies)
Required
How would you like to receive your supplies and snacks?
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Pick-up from Clarkston UMC at a Designated Time
Delivered (In the Lewis-Clark Valley Only, ask for specifics)
Mailed (You will be responsible for paying shipping)
Do you have access to Internet?
Yes
No
Clear selection
How would you like to get your information and instructions? Feel free to pick more than one option. If no other option is selected, the information and instructional videos are available on YouTube and the Clarkston United Methodist Website for your use.
I will use the videos from the website or YouTube (Bonus content available)
No screens version: Written lesson plan and CD (No bonus context available)
For those without internet: DVD Video Instruction (No bonus context available)
Do you have any additional concerns as we move forward?
Your answer
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