Peace Church-2018 VBS Participant Registration
Children ages 3-yers-old through entering 6th grade are welcome to participate in our FREE VBS. 7th graders and up are welcome to volunteer. This is a FREE event that is held at our Lawndale Campus (3161 Lawndale).

Permission and Consent Form MUST be completed in its entirety. The completed printed form MUST be brought with your child on their first day of attendance of VBS. Link to form: http://goo.gl/dUZFww

*Would you like a sneak peak of Shipwrecked music? CD's are available for Saturdays and Sundays purchase of $7 each. All the proceeds go towards making this year's VBS a better experience for your children.

WELCOME! We are excited about this fun-filled week learning about Jesus, our Rescuer!
Child's Last Name *
Your answer
Child's First Name *
Your answer
Gender *
Age *
Your answer
Grade entering in the Fall *
Allergies or other medical conditions (Please state food and other allergies. If your child has no allergies or medical conditions please put "none.") *
Your answer
Additional Comments (Anything else you would like us to know about your child.)
Your answer
Parent's First Name *
Your answer
Parent's Last Name *
Address (Please include city, state and zip) *
Your answer
Phone Number (Please provide the best number that you may be reached during 9am-12pm.) *
Your answer
Email (For church use only) *
Your answer
In case of emergency, contact (First & Last Name) - This is a person who will be be contacted if parents are unreachable. *
Your answer
In case of emergency, contact (Phone number) - This is a person who will be be contacted if parents are unreachable. *
Your answer
In case of emergency, contact (Relationship to child) - This is a person who will be be contacted if parents are unreachable. *
Did you print off the Permission and Consent Form? Link to form :: http://goo.gl/dUZFww *
Do you have another child to register? *
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