Changemakers Lab Vacation Bible School 2023

Bay Shore Church Vacation Bible School 2023

Join us for a fun full-day program including music, movement, visual arts and crafts, games and special activities, Bible story time, worship, learning, and more!
WHERE: 5100 The Toledo, Long Beach

Bay Shore Community Congregational Church (UCC)
WHEN: Monday - Friday, June 19-23

Program 9:00 a.m. to 4:00 p.m. (early drop-off 8-9 a.m., late pick-up 4-5 p.m.)
WHO: Kids Age 4 Years Through 6th Grade
By submitting this form, you are giving your child permission to participate in this program and grant Bay Shore Church staff and volunteers permission to
supervise your child during program hours.

$100 suggested donation per child (payable by check or cash onsite on the first day of the program) Need-based scholarships are available (please contact me directly at the email address below)

Early drop-off and late pick-up available for $5 per day

Fees waived for children or siblings of onsite volunteers.

Please send a packed lunch and snack with your child each day (labeled with your child's name). Some additional snacks will be available.

We invite your family to join us on Friday at 5:00 p.m. for a pizza dinner followed by a musical showcase of our week. Your kids will be working towards this show all week, so you won't want to miss it!

We look forward to seeing you at VBS!
Susie Bjork, Associate Pastor
pastorsusie@bayshorechurch.org
Child's Name*

First NameLast Name
Child's Gender*
Child's Birth Date*

MonthDayYear
Child's Grade in Fall 2023*
Parent/Guardian's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Home Phone*

Area CodePhone Number
Cell/Work Phone*

Area CodePhone Number
E-mail Address*
Additional Emergency Contact

First NameLast Name
Their Phone Number

Area CodePhone Number
Their Relationship to Your Child
Does anyone else have permission to pick up your child from VBS?*

YesNo
If so, what is their name?

First NameLast Name
Does your child have any allergies, dietary restrictions, or medical concerns that we need to be aware of?*
Does the church have your permission to use photos/video footage of your child at VBS for publicity purposes?*

YesNo
Child's T-shirt Size*
Is there anything else we should know about your child?
Should be Empty:

Bay Shore Church Vacation Bible School 2023

WHERE: 5100 The Toledo, Long Beach

WHEN: Monday - Friday, June 19-23

WHO: Kids Age 4 Years Through 6th Grade