Children's Vacation Bible School (VBS) Registration Form
Please complete this form to sign your child up for VBS at Wyoming Valley Presbyterian Church for June 2021!
VBS will be held from 6:00 pm to 8:00 pm on June 22 (Tuesday), June 23 (Wednesday), and June 24 (Thursday).
Your child can attend 1, 2, or all 3 days. Select the days below.
Please submit ONE FORM PER CHILD.
If your child is too old to participate as a "camper" they can be Leaders in Training! Contact Amanda Demetros at
for more information.
Child's Name (First and Last)
Last School Grade Completed
Child's Home Address
Child's Food or Severe Allergies (Bees, peanuts, etc.) If none, write n/a.
Primary Contact Person (Parent/Guardian 1): First & Last Name and Phone Number
Secondary Contact Person (Parent/Guardian 2): First & Last Name and Phone Number
Dates my child would like to attend VBS at Wyoming Valley Presbyterian Church. (Select all that apply.)
Tuesday, June 22, 2021 from 6:00-8:00 pm
Wednesday, June 23, 2021 from 6:00-8:00 pm
Thursday, June 24, 2021 from 6:00-8:00 pm
VBS is a way to bring children together in a Christian community. We are asking for parents/guardians to volunteer some time helping us model that sense of community by donating their time or talents to our VBS program. Select an activity you would be willing to do. (Select all that apply.)
Set up (arrive at 5:40, stay until groups are dismissed to first location)
Clean up (arrive at 7:40, stay until we are cleaned up)
Help run activities (a member of WVPC will plan the activities, you would help the kids complete them)
Would you be interested in participating in an adult bible study in another room of the church while the children are participating in our VBS activities?
Yes, I would attend a Bible study if it is available.
No, I can't stay for a Bible study.
A copy of your responses will be emailed to the address you provided.
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