VBS 2019 "ROAR" Registration Form
We're so excited to have your children join us at Ambassador Bible Church's VBS from August 5th-9th (9am-12:30pm)! Our VBS is for children 3 years old (potty trained) through rising 5th graders.

Registration is FREE!!! Donations are welcome to help support our VBS preparations. Checks can be made to Ambassador Bible Church with "VBS 2019" on the memo section.

Register your children by July 1. We only have room for 60 kids.

We look forward to sharing everything that God has for us that week. Please visit our website (http://www.ambassadorbiblechurch.org/vacation-bible-school/) for additional details. See you on August 5th!

Child's First Name *
Your answer
Child's Last Name *
Your answer
Street Address *
Your answer
State *
Your answer
City *
Your answer
Zip Code *
Your answer
Child's Age *
Your answer
Child's Date of Birth *
MM
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DD
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YYYY
Last school grade completed (by start of VBS) *
Only children who are 3 years old or rising 5th graders are allowed to participate. Children must be potty trained.
Your answer
Allergies, Medical Conditions, or Special Care Notes
Your answer
T-Shirt Size (use chart below as guide) *
Captionless Image
Your answer
Parent/Guardian Email *
This is the email we'll use to contact your family for any questions or follow-up information.
Your answer
Children participating in our VBS may be photographed or video recorded. In order to participate in our VBS, you must give us permission to use photos and/or video footage of your child(ren) for promotional purposes. All photos and videos will be shared with you. Please check here that you understand this requirement. *
Required
Could you or your spouse serve at VBS this year? *
We highly encourage all parents to serve at least once during our VBS week. Open to only Ambassador Bible Church attendees.
Required
Emergency Contact
Mother's Name (or Guardian)
Your answer
Mother's Phone Number(s)
Your answer
Father's Name (or Guardian)
Your answer
Father's Phone Number(s)
Your answer
Additional children? *
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