VBS 2021 Registration Form
Thanks for choosing to register for VBS 2021! We're excited to be able to resume VBS this year! We look forward to having a great week learning about how Jesus' power can pull us through anything as we ride the rails of the Rocky Railway!
Rocky Railway VBS will be held in La Harpe from July 26-30th, 2021 from 9am-noon each day. It is a joint effort of the La Harpe Christian Church and Union Church. Each day will begin and end at the La Harpe Christian Church. Children will be served lunch each day before they leave. VBS is open to children in Pre-K through 8th Grade.
Child First Name
First name of child attending VBS
Child Last Name
Last name of child attending VBS
The home address of the child attending VBS
City in which child resides
State in which child resides
ZIP Code in which child resides
The church the child regularly attends (if none, write none)
Grade Entering in Fall
Select the grade the child will be in this fall (if not beginning school yet, mark Pre-K)
Parent/Guardian First Name
First name of the parent or guardian of the child
Parent/Guardian Last Name
Last name of the parent or guardian of the child
E-mail address at which you can be reached
Parent/Guardian Phone Number
The phone number at which you can be reached
Person we can contact in the event of an emergency during the week of VBS (during the hours of 9am-noon)
Emergency Contact's Relation
The relationship of the emergency contact to the child (parent, grandparent, friend, etc.)
Emergency Contact Phone #
Number at which we can reach the emergency contact during VBS
Please list any allergies or special needs for which we may need to account
Friend/Sibling Group Request
Children will be divided up into crews with mixed age groups. If your child has a friend or sibling they'd like to have in their crew, let us know their name and we will try our best to make that happen!
My Child has permission to walk/ride their bike home from VBS
I give VBS leaders permission to send my child home on foot or on their bike (please check if yes)
Any other information you think might be helpful for us to have
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