2022 DCC VBS Participant Registration
Join us for a week long adventure 'Celebrating God's Greatness'!
June 6-10, 2022    9am - 12noon

** This form is for children going into Kindergarten through children going into 5th grade Fall 2022 **

Important Note: We are not taking preschool aged children. Children must be entering Kindergarten Fall of 2022 to participate.

Children going into 6th grade Fall 2022 should fill out the VOLUNTEER VBS registration form:
https://forms.gle/v4yhCLvjhkU9yQgm7

Contact Julie Andrews with questions:
Juliea@dillonchurch.org
303-912-2124 +cell
970-468-2461 +church
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Email *
Child's First Name *
Child's Last Name *
Child Date of Birth *
Year will default, please correct with your child's correct birth date
MM
/
DD
/
YYYY
School Grade for FALL 2022 *
Age (as of June 1st 2022) *
School Child Attends *
Name of Parents *
Parent Primary Phone Number *
Parent Secondary Phone Number *
Mailing Address/PO Box Number *
Mailing Address/City, State and Zip *
Emergency Contact Name *
Emergency Contact Number *
Allergies (you will need to provide a snack each day if your child has allergies) *
Home Church *
Attendance Days *
Required
List ONE friend your child would like to be in a group with (no guarantees but we will do our best!) *
Anything you would like us to know about your child: *
Ways to help at VBS: *
A copy of your responses will be emailed to the address you provided.
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