Passport to Peace VBS Youth and Youth Volunteer Registration
Pea Ridge UMC and Christ the King Lutheran Church invites children between the ages of 3-11 to this year's Passport to Peace VBS! Our one-day VBS will take place on July 16th at Pea Ridge UMC from 9-12!  Join us for games, crafts, music, Bible stories, science, and mission time.

If you are registering multiple students, please use one submission/registration per student!
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Student’s Name *
Parent/Guardian’s Name *
Home Address *
E-mail Address *
Primary Contact Phone Number(s)  *Please list the associated name with the phone number *
Child's date of birth and age
Last school grade completed
Home Church
Allergies/Medical Information/Dietary Restrictions
Emergency Contacts (Include name and phone number) (We will use these contacts if the primary contact is unavailable) *
Name(s) of person(s) who may pick up this child from VBS (please include person's relation to the student) *
Photographs of VBS activities may be posted to the PRUMC Facebook or Web page, with parent or guardian permission. We will not include children’s names. Please initial one of the statements below: *
If you have any other concerns that we may need to know about the student, please list them below!
Congratulations!
You have reached the end of the student registration. Please skip the following questions unless you are registering to be a youth volunteer. In order for the registration to go through please hit next at the bottom of the page and then hit submit on the following page!
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