2019 Vacation Bible School
Registration Information
Fees: $50 for first child / $45 for each additional child (includes VBS T-shirt and 1 music CD per family)
Full day fees: $120.00 per child (including lunch and snacks)

Date: 6/24/19 - 6/28/19 (Mon – Fri)
Time: 9:00am – 12:30pm (half day)
Full day: 9:00am - 5:00pm
Deadline: 6/09/19 or until classes are filled
No refund after 6/09/19
Closing Ceremony: 6/28/19 (Friday at 7:30pm)
Contacts: Anh (858)705-3610 or Lillian (619)933-2356

Welcome all current 4 years old to currently 4th grader kids

Welcome to ROAR!
Student Name (First, Last) *
Your answer
Select One *
Date of Birth (mm/dd/yy) *
Your answer
Grade *
Does the Student Speak English? *
T-Shirt size *
Special Medical Attention *
Your answer
Father's Name *
Your answer
Father's Phone Number (xxx-xxx-xxxx) *
Your answer
Mother's Name *
Your answer
Mother's Phone Number (xxx-xxx-xxxx) *
Your answer
Parent's email address *
Your answer
Address *
Your answer
Emergency Contact Person & Phone Number *
Your answer
Which church does your family presently attend? *
I give my permission for (Student Name) to attend and participate in all activities for the week of 6/24/2019 to 6/28/2019 VBS at Chinese Bible Church of San Diego. I further absolve and release the Chinese Bible Church of San Diego and all of its co-workers from all liabilities due to loss of property or injuries sustained during the execution of this program (including the transportation of the aforementioned person to and from the church).I also give my permission to the church co-workers or medical personnel to provide appropriate medical treatment for the aforementioned person in case of injuries sustained during the program.Parent/Guardian Signature *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service