Agape VBS - Roar: Life Is Wild, God Is Good! 2019
June 17 - 21, 2019
Monday - Thursday 5:30 - 8:30
Friday: 5:30 - 7:30
Friday: Family fun night and overnight tent camping - Parent supervision required
3 years old - 6th Grade * Must be 3 years old by 6/1/2019 in order to participate
Email address *
What is your student's first name? *
Your answer
What is your student's last name? *
Your answer
What is the student's date of birth? - Must be 3 years old by 6/1/2019 in order to participate. *
MM
/
DD
/
YYYY
Mother's first name. *
Your answer
Mother's last name. *
Your answer
Mother's contact phone number. Please use the following format (xxx) - xxx - xxxx. *
Your answer
Father's first name.
Your answer
Father's last name.
Your answer
Father's contact phone number. Please use the following format (xxx) - xxx - xxxx.
Your answer
Primary Email Contact (Please type carefully and correctly) *
Your answer
What is your address? *
Your answer
What grade is your student in? For the 2018 - 2019 School year. - Must be 3 years old by 6/1/2019 in order to participate. *
What is your student's shirt size? Shirts come in youth sizes. *
Registration after May 26th will not include a t-shirt. *
Has your student attended an Agape VBS in the past? *
Have you completed the Agape Sunday School Registration for the 2018 - 2019 School Year? *
What is your student's gender? *
A Release of Liability will be emailed to me. I understand that I must submit a Release of Liability waiver before my student may Participate in Agape's VBS Program. *
I do hereby acknowledge and assume any and all risk of participation in any and all activities in association with Agape Christian Church OC. *
Allergy Statement: On occasion, Agape Christian Church serves food that contains: peanuts, tree nuts (including coconut), dairy products, eggs, soy, wheat, crustaceans, fish. *
Would you like to help donate food for any particular night? *
Would you like to help serve food and clean up for any particular night? *
Are you planning on camping out with us Friday night? Parent supervision is required. Saturday morning will include breakfast and water activities. Please bring your own camping gear. *
Photos and Social Media Statement: Agape may use photos taken at VBS and/or information related to my child's experiences at VBS. This information may be used in electronic publications, audiovisual presentations, promotional literature, and social media. *
What aspect of VBS is my Student most looking forward to? *
Your answer
Registration Fee - Suggested Donation - $15 Per Student *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service