Vacation Bible School - 2018 - Registration
CARMEL PRESBYTERIAN CHURCH
100 Edge Hill Road, Glenside, PA 19038
VACATION BIBLE SCHOOL – 2018 - for children ages 4 to entering 7th Grade (Sept. ’18)

Sunday, July 22 to Thursday, July 26
6:30p-8:30p each night

** ONLINE REGISTRATION WILL BE ACCEPTED TO THURS. JULY 19**

"Shipwrecked - Rescued by Jesus" sparks imagination with faith-building fun! We'll venture onto an uncharted island where kids survive and thrive. Nightly activities and lessons will anchor kids in the truth that Jesus carries them through life's storms.
PARTICIPANT INFORMATION
Please register EACH child separately. Thank you!
Child's FIRST Name *
Your answer
Child's LAST Name *
Your answer
Child's BIRTHDATE (mm/dd/yy) (Child's birthdate may not be after 7/26/14) *
MM
/
DD
/
YYYY
Child's GRADE in SEPT. 2018 *
Does this child have any ALLERGIES (food, environmental, medical, other)? Please list. *
Your answer
Does this child wear BRACES on his/her teeth? *
Please mark which nights this child is expected to ATTEND VBS: *
Required
PARENT / GUARDIAN INFORMATION
The information your provide will not be shared with anyone outside of Carmel Presbyterian Church.
Your FIRST Name *
Your answer
Your LAST Name *
Your answer
Your RELATIONSHIP to this CHILD: *
BEST PHONE NUMBER to reach you during VBS, if necessary: *
Your answer
Your EMAIL ADDRESS: *
Your answer
I give permission for this child's photograph to be used by Carmel Presbyterian Church in its online and print advertising and promotion (child will not be identified by name). *
Required
EMERGENCY CONTACT INFORMATION
This person will be contacted in an emergency only if the parent/guardian cannot be reached.
Emergency Contact NAME (first and last) *
Your answer
PHONE NUMBER *
Your answer
RELATIONSHIP to this PARTICIPANT *
Your answer
NIGHTLY STATIONS
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