Faith Outreach VBS 2022

VBS Registration Form

July 22nd Registration is 5:45-6 and then vbs is 6-8 pm And July 23rd 9:00am- 2:00pm Location will be at Faith Outreach Center. VBS is for kids going into kindergarten and exiting 5th grade. You must pick up your child at 2:00 pm Saturday and then stay or some free fun. We have a special performance from 2pm- 3pm (bring a lawn chair) followed by a community family block party 3pm-5pm. Can't wait to have you join us!! any questions call 574-223-7631
- Childs Name
  
  First NameLast Name
- Age
- Date of Birth
  
  MonthDayYear
- Grade
- Medical Problems/ Allergies / Special Needs
- Parent / Guardian's Name
  
  First NameLast Name
- Phone Number (Daytime / Emergency)
  
  Area CodePhone Number
- Phone Number (Evening)
  
  Area CodePhone Number
- E-mail
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip CodeCountry
- CONSENT FOR MEDICAL TREATMENT | As the parent or legal guardian of the above-named participant, I hereby give my consent for emergency medical care prescribed by a duly licensed Doctor. This care may be given under whatever conditions are necessary to preserve the life, limb, or well-being of my dependent.
- By signing and submitting this registraiton form, you understand and agree to all policies.
- Parent/Guardian Signature
  
  First NameLast Name
- Today's Date
  
  MonthDayYear
- Comments and/or Questions:
- shirt size
- Should be Empty: