Breaker Rock Beach VBS 2024

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

4-year-olds to incoming 5th graders are invited to join us for Breaker Rock Beach VBS 2024
Join us July 8-12 for Bible lessons, snack, games, crafts, and more!

6:30-8:15 p.m. in Anderson Hall

Daily penny offering

Family Night- Friday, July 12 @ 6:30 p.m.

Questions?
(626) 962-8501
emily@bethanyonline.net
----
Bethany Church
763 N Sunset Ave. West Covina

Parent/Guardian Full Name(s) *

Address *

Parent Phone Number *

Parent Email Address *

Additional Parent Phone Number *

Name/Phone Number of person other than parent/guardian to be contacted in case of emergency *

Child's Name (First and Last) *

Child's Birthday *

YYYY

Grade Entering in September *

Any health problems or food allergies we should be aware of? *

PHOTO RELEASE: I understand and authorize that my child’s image may be photographed, filmed and used in video presentations and printed publications including the website and social media profiles *

YES my child's image may be used

NO my child's image MAY NOT be used

Do you need to register another child? *

Yes

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms