Vacation Bible School August 2nd - 6th 8:30am-12pm
2010 Registration
Please fill out one form for each child.
Child's Name:
Age: Birth Date: Grade Completed:
Please Check Camp Choice:
Monday - Friday K-5th Grade Camp
Wednesday, Thursday, Friday Preschool Camp
Name(s) of Siblings attending VBS:
Address:
City/Zip Code:
Parents/Guardians Name:
Phone Number: Cell Number:
Extra Phone Number:
Email Address:
Name Child prefers to be called:
Church Home:
Allergy/Health/Special Information:
Name(s) of person(s) picking up child from VBS if other than parents/guardians:
NOTE: We will ask to see a picture ID of ALL people picking up a child (including parents/guardians).
Emergency Contact Information:
We will first attempt to contact a parent/guardian. In the event the numbers above do not put us in contact with a parent/guardian we will call the Emergency Contact. Please do not list a parent/guardian or phone numbers from above.
Name:
Phone Number(s):
Relation to Child:
My Child has my permission to attend and participate in the God's All-Star Champions VBS program.
YES NO
Parent/Guardian Signature:
Christ Church may take and publish pictures of my child. Pictures will be used for a slide show on August 9th and be posted on our web page. We will not publish names along with said pictures.
Questions regarding our photo policy, contact Leigh Ann Gigliotti, Director of Children's Ministry at 814-833-6398 or follow click here to visit Christ Churches Children's Ministry Photo Galore page and click on Photo Policy.