2019 Vacation Bible School at Dillon Community Church
Join us for a week long adventure at "ROAR: Life is Wild, God is Good!"
June 10-14 9am - 12noon

** This form is for children 3 years of age (and potty trained) through kids going into 5th grade Fall 2019 **

Children going into 6th grade Fall 2019 through adult volunteer should fill out the VOLUNTEER VBS registration form!
https://goo.gl/forms/HYyPRJoxFeEtQ5B73

Contact Julie Andrews with questions:
Juliea@dillonchurch.org
303-912-2124 +cell
970-468-2461 +church

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child Date of Birth *
Year will default to 2019, please correct with your child's correct birth date
MM
/
DD
/
YYYY
Child's Primary Language *
School Grade for FALL 2019 *
Age (as of June 1st 2019) *
As you consider signing up your preschooler: We expect to have 250+ kids and a lot of stimulation. Call Julie Andrews to talk about this situation or with further questions.
School Child Attends *
Name of Parents *
Your answer
Parent Primary Phone Number *
Your answer
Parent Secondary Phone Number *
Your answer
Mailing Address (include City and State) *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Allergies or Medical Conditions (You must pack a snack for your child with food allergies.) *
Your answer
Home Church *
Your answer
Attendance Days *
What days will your child attend VBS? This helps us with creating crews and taking attendance.
Monday
Tuesday
Wednesday
Thursday
Friday
Row 1
Name of ONE friend you hope to be in a crew with? ***THIS IS NOT A GUARANTEE***
First and last name
Your answer
Anything you would like us to know about your child:
Your answer
Ways to Help at VBS *
Required
A copy of your responses will be emailed to the address you provided.
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