VBS 2021 Olympion Sign Up July 12-14th
Hello! Here you will find both the sign up for VBS at Park Road Pres. as well as the medical release form. Because of a limited capacity to 70 this year, we will reserve your spot once we receive the registration fee of $15 per child or $40 per large family. Offered to incoming K-5th graders. If you have any questions, please do not hesitate to reach out to our VBS Director, Alexa Cannella, at Alexa@parkroadpres.org

A week before the program you will receive a confirmation email with more information. Thank you!
Your name *
Your email *
Child one: *
Incoming Grade Child One *
Children's Shirt Size *
Child Two
Incoming Grade Child Two
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Child 2 shirt Size
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Child Three
Incoming Grade Child Three
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Child 3 Shirt Size
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Emergency Contact Name *
Emergency Contact Phone Number *
Does your family have a church home? *
How did you hear about our VBS program? *
Payment method. $15 per child OR $40 per family. (Please note that your spot is not confirmed until payment is received)
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For checking-out your kids at noon, we are asking that you create a 4-digit "pin" to ensure your kid is only being picked up by authorized guardians who have the code. What would you like your 4 digit code to be? (we recommend writing this down)
Is there anything specific you would like us to know about your signed up student(s)?
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