Galactic Starveyors VBS Registration
Join us June 26th through 30th from 6:30 to 8:45 pm each night as we blast off for adventure in this year's Vacation Bible School at Concord!

Ages are rising kindergarten through rising 5th graders.

If you have any questions, please email concord.family@concordchurch.tv!

Name of Child #1
Your answer
Grade Child Will Be Attending Fall 2017
Name of Child #2
Your answer
Grade Child Will Be Attending Fall 2017
Name of Child #3
Your answer
Grade Child Will Be Attending Fall 2017
Name of Parent/Guardian
Your answer
Home Address
Your answer
Phone number you can be reached at during VBS
Your answer
E-Mail Address
Your answer
Emergency Contact
Name of someone other than yourself
Your answer
Emergency Contact Number
Your answer
People authorized to pickup your child
Person will be required to show a photo ID - Person can not be under 18
Your answer
Special Needs / Allergies
Required
May we post pictures on social media of your child participating in VBS?
A release form will need to be signed by the child's guardian authorizing the use of these photos
Submit
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