Elon Community Church UCC VBS Registration
Send your kids on awesome adventures alongside some of their favorite Bible heroes and discover the qualities that make them truly heroic in God. VBS Hero Central uses epic music, spectacular science, crafty crafts, heroic recreation, and fantastic Bible stories to help kids (and leaders) discover their strength in God!

Sunday, June 18, 4-7 pm (Family Cookout)
Monday, June 19 - Wednesday, June 21
5:45 pm - 8:15 pm
Ages 3-12

Elon Community Church UCC
271 N. Williamson Avenue
Elon, NC

Student Information
Child #1 Name: *
Your answer
Child #1 Birthdate: *
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Child #1 Grade in School (2017-2018) *
Child #2 Name:
Your answer
Child #2 Birthdate:
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Child #2 Grade in School (2017-2018)
Child #3 Name:
Your answer
Child #3 Birthdate:
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Child #3 Grade in School (2017-2018)
Child #4 Name:
Your answer
Child #4 Birthdate:
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YYYY
Child #4 Grade in School (2017-2018)
Parent/Guardian Contact Information
Primary Parent/Guardian Name: *
Your answer
Primary Parent/Guardian Phone Number: *
Your answer
Primary Parent/Guardian E-mail Address: *
Your answer
Secondary Parent/Guardian Name:
Your answer
Secondary Parent/Guardian Phone Number:
Your answer
Secondary Parent/Guardian E-mail:
Your answer
Home Mailing Address *
Your answer
Emergency Contact Information
Please list the name and phone number of the adult who should be contacted in case of an emergency during VBS hours.
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
Event Related Questions
Dinner and Snacks will be served each night. Does your child have any dietary restrictions? *
If Yes, please list:
Your answer
The opening night is a family cookout. Please let us know the total number of people coming from your family: *
Your answer
Are you willing to serve as a VBS volunteer? *
If yes, please list your name and e-mail address below:
Your answer
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