VBS 2018 Registration
FPC Beaver - June 18-21, 2018
9:00-11:30am
Age 4 by September 1st through entering 5th grade
Questions? Call or text Emily Mills at 440-856-6801
Child's Name *
Your answer
Grade (for Fall 2018) *
Next Child's Name
Your answer
Grade for Fall 2018
Next Child's Name
Your answer
Grade for Fall 2018
Street Address *
Your answer
Zip Code *
Your answer
Telephone Number *
Your answer
Parent/Guardian Name *
Your answer
Parent/Guardian Email *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Number *
Your answer
Does your child have food allergies? *
If you answered yes to the question above, please give the child's name and state the allergy.
Your answer
If your child has food allergies will you be sending a snack? *
Anything else that we should know about your child (special needs, speech delays, etc.)?
Your answer
New this year: kids entering K-3rd grade will not be grouped by their grade level, instead our groups will have a mix of those ages. Due to this change, parents may request one friend per child to be in their group. We will honor this request if at all possible. Please include your child's name and the full name of the friend you are requesting.
Your answer
Are you interested in volunteering with VBS? *
Photo/Video Permission
If you agree to the following statement, please enter your name and today's date below.
Photo/Video Permission: I give permission for my child to be photographed and/or videotaped during VBS. I understand these pictures/videos will be used for VBS purposes. *
Your answer
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