Vbs Registration form

July 10-14 (Friday is a program for parents & Family)

5:30-7:45 PM

We are excited to serve your kids this week.
We are having VBS (Vacation Bible School) July 10-July 13 5:30-7:45 PM. Monday-Thursday your kids will enjoy dinner, bible time, worship, & crafts. Friday we will have a program and have food trucks in our parking lot for you to buy dinner and have some fun.
Open to everyone ages 3 (potty trained)-5th grade.)
Registration Form

Fill out the form carefully for registration
Child #1 Name

First NameLast Name
Grade completed in 2023
Age
Child #1 Birthday

MonthDayYear
Date
Child #2 Name

First NameLast Name
Child #2 Grade completed in 2023
Child #2 age
Child #2 Birthday

MonthDayYear
Date
Child #3 Name

First NameLast Name
Child #3 Grade completed in 2023
Child #3 age
Child #3 Birthday

MonthDayYear
Date
Child #4 Name

First NameLast Name
Child #4 Grade completed in 2023
Child #4 age
Child # 4 Birthday

MonthDayYear
Date
Child #5 Name

First NameLast Name
Child #5 Grade completed in 2023
Child #5 age
Child #5 Birthday

MonthDayYear
Date
Parent #1

First NameLast Name
Parent #2

First NameLast Name
Family Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent #1 Email
example@example.com
Parent #2 Email
example@example.com
Phone Parent #1
Format: (000) 000-0000.
Phone Parent #2
Format: (000) 000-0000.
Additional Comments/Allergies
We are so excited to serve your kids!

Last year, we had many people wanting to donate time, food and contribute financially. If you are interested please let us know ahead of time, we would love to have the extra help.

We also understand it's nice to have a mid summer break for a few hours a day. If thats the case, just drop the kids off for a fun time while you enjoy some rest and take some time for yourself.
Would you like to donate/volunteer

Other
Photo Release: Crossroads Community Church has my permission to use my child's photograph publicly in church/vbs materials. I understand the images mar be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation will be paid to me.
Photo Release
Signature
Should be Empty:

Registration Form