VBS 2018 Registration Form
Grace Point's VBS is August 6-10 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 2018 *
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
I am interested in being contacted about serving within VBS, and understand there will be safety clearances and other requirements to be able to help. *
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."
AMPED T-Shirt Size
AMPED Audio CD *
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