Evergreen's Vacation Bible School Registration
Registration form for Evergreen's Vacation Bible School on July 10th-12th.

VBS is for children in Preschool-5th grade (kids from 3rd-5th grade can sign up as a Jr. Counselor)

If multiple children? Please register them separately.

Please bring a water bottle, wear weather appropriate clothing and comfortable shoes. Questions? email: jessica@evergreenpdx.org

Email address *
Child's name *
Your answer
Child's Age *
Your answer
Grade level *
If you are a Jr. Counselor what area would you like to help with?
Parent's name and phone number *
Your answer
Anyone other than parent picking up? Please put down their name and phone number
Your answer
Emergency contact and phone number #1 *
Your answer
Emergency contact and phone number #2 *
Your answer
Allergies/dietary restrictions? Please list below
Your answer
Which dates will your child be attending VBS (all dates are recommended) *
Would you like to help make this VBS awesome? If you volunteer you will receive a discount on your child's registration fee.
Have you filled out our Liability Release Form? *
Anything else we should know about your child?
Your answer
VBS is $5 per child per day, you can pay at registration or online by following the this link: https://www.paypal.com/donate/?token=TF7rJ90G_cPt6JUB6r2aOC8uWKp0qPmHpHrFgR8TjB1T6W3y-kikFPgUbB7RwyE5GgH0-W&country.x=US&locale.x=US *
Let us know you are paying online or at registration, thank you!
Your answer
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