Summit Presbyterian Church VBS Registration
Summit Presbyterian Church is proud to host VBS the week of June 17th-June 21st, 2024 from 9:00a.m.-12:00p.m. VBS registration is open to all children 3 years old, and potty trained- through 7th grade. * Be sure to hit the SUBMIT button at the end of the form!!
Sign in to Google to save your progress. Learn more
Email *
Student number one (Last Name, First Name)/Grade/Age/Date of Birth/Shirt Size 
 *
Student number two (Last Name, First Name)/Grade/Age/Date of Birth/Shirt Size
 *
Student number three (Last Name, First Name)/Grade/Age/Date of Birth/Shirt Size *
Names of parents/guardians (First and Last Names)
 *
Complete address (City, State, Zip Code)
 *
Best contact phone number
 *
In case of emergency (Full Name, Phone Number)
 *
Please list ALL allergies/medical conditions (that we need to be aware of)
 *
List names of ALL persons authorized to pick-up the above-named children.** Please include the names of all authorized parents- including your name!**
 *
Does your child have a friend they wish to be grouped with? If yes, please include the child's full name below
 *
Name of your home church
 *
By submitting this form to Summit Presbyterian Church, I am aware that photos and/or video of my child may be used on the church's website or Facebook page. Names of children are NEVER listed. Please type your name below in acknowledgement of this statement.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms