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VBS 2019 Registration Form
Thanks for choosing to register for VBS 2019! We look forward to having a great week learning about God's faithfulness to His people as we look at the story of the Israelite captivity in Egypt.
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Details...
Roar VBS will be held in La Harpe from July 22-26th, 2019 from 9am-noon each day. It is a joint effort of the churches in La Harpe. Each day will begin and end at the La Harpe Christian Church. VBS is open to children in Pre-K through 8th Grade.
Child Information
Child First Name
*
First name of child attending VBS
Your answer
Child Last Name
*
Last name of child attending VBS
Your answer
Child Address
*
The home address of the child attending VBS
Your answer
City
*
City in which child resides
Your answer
State
*
State in which child resides
Your answer
ZIP Code
*
ZIP Code in which child resides
Your answer
Home Church
The church the child regularly attends (if none, write none)
Your answer
Grade Entering in Fall
*
Select the grade the child will be in this fall (if not beginning school yet, mark Pre-K)
Choose
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Parent/Guardian Information
Parent/Guardian First Name
*
First name of the parent or guardian of the child
Your answer
Parent/Guardian Last Name
*
Last name of the parent or guardian of the child
Your answer
Parent/Guardian E-mail
E-mail address at which you can be reached
Your answer
Parent/Guardian Phone Number
The phone number at which you can be reached
Your answer
Emergency/Health Information
Emergency Contact
*
Person we can contact in the event of an emergency during the week of VBS (during the hours of 9am-noon)
Your answer
Emergency Contact's Relation
*
The relationship of the emergency contact to the child (parent, grandparent, friend, etc.)
Your answer
Emergency Contact Phone #
*
Number at which we can reach the emergency contact during VBS
Your answer
Allergies/Special Needs
Please list any allergies or special needs for which we may need to account
Your answer
Additional Information
Name of Friend/Sibling
Children will be divided up into tribes with mixed age groups. If your child has a friend or sibling they'd like to have in their tribe, we will try our best to make that happen!
Your answer
Walk/Ride Permission
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)
Other Information
Any other information you think might be helpful for us to have
Your answer
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