VBS 2017 Registration Form
Grace Point's VBS is July 31 - August 4 for children ages 5 (entering Kindergarten) through those entering 6th Grade. Please use this secure form to registration your child.

Unlike previous years, this form will accept one child registration per entry. Registering each child separately will help us record your registrations more accurately, and help keep your kids safe upon drop-off and pick-up. We appreciate your attention and time in this process. Thank you!

We don't sell your information. This form is encrypted by 128-bit SSL encryption, to keep your information safe and secure.

We require that children under 13 years of age not submit personal information. In accordance with the Federal Children’s Online Privacy Protection Act of 1998 (COPPA), Grace Point does not knowingly collect personal information from children under 13.

Child Information
Last Name
Your answer
First Name
Your answer
Birthdate
MM
/
DD
/
YYYY
School Grade as of Fall 2017
Children must be age 5 by September 1.
Allergies/Special Information
if applicable
Your answer
Parent Information
Parent's Name
Your answer
Address
Your answer
State
Your answer
City
Your answer
Zip Code
Your answer
Email Address
Your answer
Home Phone Number
Your answer
Cell Phone Number
Your answer
Emergency Contact
In case we can't get a hold of the child's parent, who else should we call?
Full Name
Your answer
Phone Number
Your answer
Safety Information
We want to make sure your kids are safe, and go home with the correct person. To ensure that happens, we'll need to know who is authorized to pick-up your child. Please provide the full name of each person you have authorized to so.

When picking up your child you, or the authorized individual(s), may be asked to provide a photo ID to verify they are on the list of authorized individuals to pick-up your child. Thank you for your commitment to your child's safety.

Authorized Person(s)
Please include their full name.
Your answer
General Information
Church Affiliation
If you attend a church already, which one?
Your answer
How did you hear about us?
Photo/Publicity Release
I permit my child's photograph to appear on the Grace Point website, social media channels, or other publications materials for the church. I understand that my child's name will not be used with any photograph.
T-Shirts & CDs
Both T-Shirts and CDs are $6 each. If you purchase both, they are $10 for the two! Let us know if you'd like one or both by selecting your T-Shirt size below and CD option. Payment is due at Check-In on Monday, July 31. Checks can be made payable to "Grace Point."
Gadgets & Gizmos T-Shirt Size
Gadgets & Gizmos CD
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