Abundance Orchard: Wild Goose Adventures 2019 Registration
Children, Youth, and Family Ministries (CYFM) of Immanuel Presbyterian Church is excited to host this year's Wild Goose Adventures, our summer Vacation Bible School! This year it will be Monday, June 24th through Thursday, June 27th from 9am to noon each day. All are welcome from age 3 to just-completed 5th grade, we would love to have you!

The suggested donation is $15 per child or $30 per family, but do still attend if a registration cost would be a burden to your family. There are many scholarships available!

Please join us! Abundance Orchard is a fun-filled time of learning and new experiences. Children will explore stories of food from the New Testament to consider how Jesus has called us to love our neighbors and feed those who are hungry. Children will watch dramas, sing songs, play games, enjoy snacks, make crafts, and do other activities as they learn about how to help those in our community who are food insecure.

If you have any questions or concerns, please reach out to CYFM Director Olivia Wilhite at olivia.wilhite@gmail.com.

Child's Name (please fill out one form for each child in your family that will be attending) *
Your answer
Child's Birth Date *
Your answer
Grade completed as of June 2019, if applicable
Your answer
Parent/Guardian Name(s) *
Your answer
Primary Contact Phone Number (the best phone number to contact on behalf of the child from a Monday to Thursday, 9am to noon) *
Your answer
Parent/Guardian Email Address(es) *
Your answer
Adults authorized to pick up your child from Wild Goose Adventures *
Your answer
Does your child have any allergies (food or otherwise) or other medical accommodations that we should be aware of? If yes, please describe. *
Your answer
Which days does your child plan to attend Wild Goose Adventures?
We can't have Wild Goose Adventures without volunteers! Please check the boxes below for areas that you would be willing to help with. You can volunteer for one hour, one morning, or all week---whatever works best with your schedule!
Is your child covered by medical insurance? If yes, please list name of insurer and policy/group number.
Your answer
I release Immanuel Presbyterian Church from the responsibility of any liability involving injury or accident to my child participating in Wild Goose Adventures 2019. I, as the parent or guardian of the child listed above, herby release Immanuel Presbyterian Church from any accident or injury causing circumstances and will accept full responsibility for my child’s actions. *
I allow Olivia Wilhite, Director of Children and Youth Ministries at Immanuel Presbyterian Church, to administer (and/or oversee certified administration of) first-aid treatment to my child in the case that she believes it is necessary. I hereby authorize Olivia to contact a medical provider if she deems treatment beyond first-aid is necessary for my child. *
Electronic Signature and Date *
Your answer
Thank you, we are so excited to have your child joining us this summer! Please use this space if there is any additional information that we should know about your child or your family.
Your answer
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