2017 VBS Registration Form
Child supervision begins at 6:15 p.m. in the Worship Center.
Voluntary $6 donations for each child's VBS tie-dye shirt are accepted.

Each child in a family must be registered individually.

Age Range
Preschool: Age 3 by Labor Day (All children attending must be potty trained, leaders will not be responsible for changing diapers/pull-ups).

Grade School: Completed K-Grade 6

Child's Name
Your answer
Child's Gender
Child's Date of Birth
Your answer
Preschool Child's Age
Age by Labor Day 2017
Elementary School Child's Grade
Completed June 2017
Friend/Group Request For Consideration
Your answer
Name, Age, Grade Of Sibling(s) Attending VBS
Your answer
Allergies
Your answer
Medical Conditions And/Or Special Needs
Your answer
Allergy Note
Note: Each night children will be given a snack of Garden Veggie Straws or Mott's Medley Fruit Snacks. If either of these is not safe for your child, you may provide the crew leader with a safe snack from home.
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