GBC VBS 2021 Registration
Thanks for taking your time to register for our VBS! Our VBS is for kids entering K through 6th grade.This year we are planning to host our activities outside for the health and safety of all those involved. We are looking forward to a great time of learning and pray your kids grow and have FUN!

ONLINE REGISTRATION will close at 12:00 am, Sunday, 7/25/21.

Walk-ins are accepted.
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Vacation Bible School
Dates
Monday through Friday, July 26-30, 2021, 6:15-8:30 pm
Location
Grace Bible Chapel
420 Allegan Circle
San Jose, CA 95123
Contact Information
Please input your contact information below.
Parent's Name *
Please type your full name.
Email Address *
Please make sure the email address is valid and accurate.
Home Address *
Please enter your mailing address. For Example - 420 Allegan Circle, San Jose, CA 95123
Phone Number *
Please make sure the phone number is correct. It will be printed on your child's name tag as the emergency contact number. For example 408-123-4567
Children's Information
Our VBS is for children who are entering Kindergarten up through those who are entering 6th Grade. If you're registering more than 5 children, you'll have to start another form after the 5th child.
Child #1 - Name, Birthdate, Grade *
Please make sure to enter the child's first and last name, birthdate, and grade, placing commas in between. For Example - John Doe, 2/15/12, 1st
Child #2 - Name, Birthdate, Grade
Child #3 - Name, Birthdate, Grade
Child #4 - Name, Birthdate, Grade
Child #5 - Name, Birthdate, Grade
T-Shirt Sizes
We'll be providing t-shirts to each child registered. Please write the child's name and t-shirt size below. The available sizes are Youth-Small (YS), Youth Medium (YM), Youth-Large (YL), Adult-Small (AS), Adult-Medium (AM), or Adult-Large (AL). For example - John Doe, YM
Child's T-Shirt Size *
Food Allergies
There will be a packaged snack served during the evening. If your child has any food allergies, please tell us the child's name and allergy. For Example - John Doe, Peanuts
Child's Name, Allergy
Special Requests
Each child may request to be grouped with 1 friend of similar age/grade. We will do our best to accommodate all requests, but there are no guarantees. For Example - John Doe, Joe Deer
Child's Name, Friend's Name
Special Considerations
Please indicate if there are special considerations we should be aware of for your children. For Example - John Doe, anxious in new situations
Child's Name, Special Consideration
Extras
These are a few extra questions we'd like you to answer to help us know more about you.
Do you attend a church? *
What church do you attend?
How did you hear about us? *
May we send you an email about our upcoming events? *
Confirmation
I UNDERSTAND THAT REGISTRATION IS NOT COMPLETE UNTIL I RECEIVE A CONFIRMATION EMAIL. A CONFIRMATION EMAIL WILL BE SENT WITHIN ONE WEEK OF RECEIVING THIS FORM. IF YOU DO NOT RECEIVE A CONFIRMATION EMAIL AFTER ONE WEEK, PLEASE CALL KRISTEN KOPPEL AT (408) 874-5259.

** Other forms such as a medical release will also need to be signed on your first day of VBS, July 26-30.
Do you understand the confirmation? *
Required
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