"Shipwrecked: Rescued by Jesus"1-Day VBS & Family BBQ
July 14th | 9 am - 4 pm
VBS IS OPEN TO CHILDREN ENTERING
KINDERGARTEN - 6th GRADES ONLY
CHILD REGISTRATION #1
FIRST & LAST NAME
GRADE ENTERING & DOB:
T-SHIRT SIZE
FOOD ALLERGIES/MEDICAL CONDITIONSIf none, please type N/A in the box.
(Optional): Name of one friend child would like to have in their crew:
CHILD REGISTRATION #2
GRADE ENTERING & DOB
(Optional): Name one friend child would like to have in their crew
CHILD REGISTRATION #3
(Optional): Name one friend child would like to have in their crew.
PARENT/GUARDIAN INFORMATION
EMERGENCY CONTACTS:
Emergency Contact Name & Phone Number