VBS 2017 Registration: Galactic Starveyors
Please fill out the following form to register your child for VBS 2017 at Christ Central Presbyterian Church/Korean Central Presbyterian Church. The form must be completed for each that will attend.

Dates & Times:
June 22-24, 9am-3pm

Early registration (May 1-May 31):
$35/child
$25/child (for families with 3 or more children)

Late registration (June 1-10):
$45/child
$35/child (for families with 3 or more children)

Registration CLOSES on Monday June 8th. There will be no day-of registration.

Please submit payments in person to Education Department Directors (Eun-Sook Yu, Jane Lee, or Grace Chang) on Sundays or mail to: Christ Central Presbyterian Church, ATTN: Eun-Sook Yu (VBS), 50 Northridge Drive, Daly City, CA 94015.


Registration costs are waived for new visitors to CCPC/KCPC for VBS 2017.
Questions? Contact Director Eun-Sook Yu at eunsookyu@gmail.com.

Email address
Parent/Guardian Name (first, last)
Your answer
Cell Phone
Your answer
Work/Home/Other Phone
Your answer
Mailing Address
Your answer
Health Insurance Provider
Policy/Group Number
Your answer
Authorization for Treatment
Required
MEDIA WAIVER
Required
Payment Information
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms