BUILD! Vacation Bible School
presented by Cross Road Assembly of God and Anchor of Hope Church

Monday, August 25th-Thursday August 28th
1318 Rhododendron Dr. (Anchor of Hope building)

VBS 9:00-12:30pm
Optional Afternoon Childcare 1:00-4:30 (lunch provided)
***Kids must participate in morning VBS in order to stay for the optional Afternoon Childcare. Drop-In or At-the-Door registration will not be available for optional Afternoon Childcare. Registration for both VBS and the optional Afternoon childcare can be completed below.***

Children must be potty trained to attend VBS
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Child's First and Last Name
 *
Age *
Birthday *
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Grade Entering in the Fall *
My child is potty trained and does not use diapers or pull-ups.
*children must be potty trained to attend VBS or optional childcare. We are unable to change diapers or pull-ups.*
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Mailing Address *
Physical Address (if different from mailing)
Parent/Guardian 1 First and Last Name *
Parent/Guardian 1 Cell# *
Parent/Guardian 1 Email *
Parent/Guardian 2 First and Last Name
Parent/Guardian 2 Cell
Parent/Guardian 2 Email
Additional Trusted Pickup People and phone numbers
Portion of the day child will attend  *
Food Allergies
Medications
Concerns We Should Know About
Church Usually Attend
Send me more information about Anchor of Hope and Cross Road
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Photo Release

I grant Anchor of Hope Church and Cross Road Assembly of God permission to use photographs taken during Vacation Bible School Activities, August 25-August 28, for any legal use, including but not limited to: publicity, copyright purposes, illustration, and web content.

I further understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. 
 *
Required
I understand that a responsible adult (18+), needs to sign my child in every morning, and a responsible adult (18+), listed as a trusted pickup person, needs to sign my child out each day.
 *
Required
I understand that in order for my child to participate in the optional Afternoon Childcare from 1:00-4:30pm they must be registered for the Afternoon Childcare by Friday, August 22nd. Drop-In or At-The-Door registration is not available for the Afternoon Childcare. If I do not register for Afternoon Childcare my child must be picked up by 12:30pm each day.
Parent/Guardian Signature (type full name) *
Date *
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