Agape VBS - Shipwrecked: Rescued By Jesus 2018
Monday - Thursday 5:30 - 8:30
Friday: 5:30 - 7:30
Friday: Family fun night and overnight tent camping - Parent supervision required
3 years old - 6th Grade
What is your student's first name? *
Your answer
What is your student's last name? *
Your answer
What is the student's date of birth? *
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Mother's first name. *
Your answer
Mother's last name. *
Your answer
Mother's contact phone number. Please use the following format (xxx) - xxx - xxxx. *
Your answer
What is the Mother's email? *
Your answer
Father's first name.
Your answer
Father's last name.
Your answer
Father's contact phone number. Please use the following format (xxx) - xxx - xxxx.
Your answer
What is the Father's email?
Your answer
What is your address? *
Your answer
What grade is your student in? For the 2017 - 2018 School year. *
What is your student's shirt size? Shirts come in youth sizes. *
Registration after May 25th will not include a t-shirt. *
Has your student attended an Agape VBS in the past? *
Have you completed the Agape Sunday School Registration for the 2017 - 2018 School Year? *
What is your student's gender? *
Allergy Statement: On occasion, Agape Christian Church serves food that contains: peanuts, tree nuts (including coconut), dairy products, eggs, soy, wheat, crustaceans, fish. *
Would you like to help donate food for any particular night? *
Would you like to help serve food and clean up for any particular night? *
Are you planning on camping out with us Friday night? Parent supervision required. Saturday morning will include breakfast and water activities. Please bring your camping gear. *
Photos and Social Media Statement: Agape may use photos taken at VBS and/or information related to my child's experiences at VBS. This information may be used in electronic publications, audiovisual presentations, promotional literature, and social media. *
What aspect of VBS is my Student most looking forward to? *
Your answer
Registration Fee - Suggested Donation - $15 Per Student *
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