Oakton CoB VBS 2017 Maker Fun Factory
Please complete one registration for each child you are planning to have attend.
July 31-Aug. 4, 2017 9:20AM to 12:30 PM
Child's First Name
Child's Last Name
What grade will your child be in next school year?
Preschool 3 years
Preschool 4 years
Nursery Care (Volunteers only)
What is your child's birthday?
Please give your first and last names.
City, State, Zip
Primary Phone Number
Please label as home, work, cell, etc.
Secondary Phone Number
Please label as home work cell, etc.
Email Address or Indicate Mail Service needed here.
We will send confirmation and other information by email unless you indicate a need for mail service.
In case of an emergency contact:
Please give relationship of the person indicated. Provide at least 2 phone numbers beside your own.
Does your child have medical or allergy concerns?
No health or allergy concerns
Yes, see explanation below
Explanation of medical or allergy concerns.
Please be specific and let us know if mediation or epi-pens will be provided.
Vacation Bible School Donations to cover your child's expenses are requested.
$30 per child, $50 family maximum. Do you plan to
Mail a check to the church office
Pay with cash or check at onsite registration on Jul. 31
Request consideration for a need-based scholarship for my child
Do you grant permission for photographs of your child to be use on the church website or other promotional materials?
No names will be identified with photos.
Yes, I grant permission for photo use.
No, I do not grant permission for photo use.
I have questions about this.
By typing your name here, you verify that all the information you provided is correct.
I am interested in volunteering!
Yes, please let me know how I can help.
No, sorry I am not able to volunteer.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service