Calvary by the Sea - Discovery on Adventure Island VBS Registration - July 26-30, 2021
Mahalo for joining us for Vacation Bible School this summer!
We look forward to having you along for our wild island adventure!
Program Hours: VBS only 8-12pm or VBS and childcare (all day) 8-5pm.

Please fill out one form for EACH student who will be attending. Mahalo!
Students name
Parent/Family/Guardian Name
Address
Which program will your child be attending? *Please note, scholarships are available for students who want to attend but cost is prohibitive. Please let us know below and we will reach out to you.
Email Address
Phone Number (cell):
Phone Number (home):
Phone number (work):
Student's Date of Birth
MM
/
DD
/
YYYY
Student's current Age
Last School grade completed
Home Church (if any)
Please list any friends of your child that may be attending (to help with group creation)
Please list any special needs who should know about (allergies, special accommodations, etc.)
1st Emergency Contact - Name
1st Emergency Contact - Phone Number
2nd Emergency Contact - Name
2nd Emergency Contact - Phone Number
Please list all names of those authorized to pick your child up from VBS/After care programming
Photo Release - Calvary by the Sea VBS has my permission to use my child's photograph publicly in VBS communications. I understand the images may be used in print publications, online publications, presentations, website content, and on social media. I also understand no royalty, fee, or other compensation shall become payable to me by reason of such use.
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