In the Wild VBS
We're heading on an adventure into the wild August 11-15 from 5-7:30 p.m. at Gateway Community Church! As usual, we'll include a kid-friendly dinner before we spend time singing, playing, and focusing in on Jesus. FREE!

Child's Name *
Your answer
Parent/Guardian Name *
Your answer
Address *
Street, City, State, and Zip
Your answer
Phone Number *
Please give us a number where we can reach you.
Your answer
Email Address *
Your answer
Child's birthdate *
MM
/
DD
/
YYYY
Last grade completed in school (if applicable) *
Medical Information
Please include any special concerns, including food allergies. A dinner will be offered each night of VBS.
Your answer
Emergency Contact Name & Phone Number *
Other than parent/guardian
Your answer
Dismissal Information *
Who may pick up your child at the end of each VBS?
Your answer
Other Information
Do you attend Sunday School? If so, where?
Your answer
May we have permission to photograph your child? *
May we have permission to use your child's photograph for the purpose of promotion? *
Are there any evenings this child will not be able to attend?
(We use this information to plan meals.)
Do you have another child you'd like to register? *
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