VBS Child Registration 2018
Welcome to SHIPWRECKED Vacation Bible School! Invite your friends and neighbors and join us we discover how we can be anchored in the truth that Jesus carries us Sunday, June 10th: Block Party Kick-off (Picnic 5:30-6:00pm, VBS 6:00 - 8:30pm)
Monday-Thursday, June 11th-14th: SHIPWRECKED @ The Point (6:00 - 8:30 pm)

VBS at The Point is for ages 4 years through kids entering 6th grade. Please fill out a separate registration for each child attending VBS. We look forward to seeing you at SHIPWRECKED VBS @ The Point!

Child's First Name: *
Your answer
Child's Last Name: *
Your answer
Date of Birth: *
Your answer
Age: *
Your answer
Last Grade Completed: *
(as of May 2018)
Your answer
Child is: *
Parent/Guardian(s) Name: *
Your answer
Mailing Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Cell Phone: *
(no spaces or hyphens required)
Your answer
Home Phone:
(if different from cell phone)
Your answer
Parent/Guardian Email Address *
Your answer
Emergency Contact Name: *
(in the event parent/guardian cannot be reached)
Your answer
Emergency Contact Phone Number: *
(in the event parent/guardian cannot be reached)
Your answer
Health Status: *
Details regarding health status that you would like us to know about:
Your answer
Special Grouping Instructions (optional)
(i.e. a friend they would like to be in the same group with)
Your answer
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