2023 Stellar VBS Child Registration Form

2023 Stellar VBS Child Registration Form

Woohoo!! We are so ready to see your child at Vacation Bible School this year and to SHINE JESUS' LIGHT! VBS will be held from June 26th-30th; 9a-12p! Please reach out if you have any questions. My (Caroline Woolard) cell is (803)-669-9645 and my email is dcm@bethesdapresbyterianchurch.org.
Child's Registration Information
Child's Name

First NameLast Name
Birthday:

MonthDayYear
Date
Completed Grade:
School attending:
Home Church:
Can have their photo taken and used for church publications:
Prefers to be in a group with: (we cannot guaruntee all requests, but we will do our best to honor them!)
Allergies/Medical Concerns:
Days Attending:

Monday, June 26thTuesday, June 27thWednesday, June 28thThursday, June 29thFriday, June 30th
I am registering additional child(ren)

YesNo

Additional Child Registration Form
Child's Name

First NameLast Name
Birthday:

MonthDayYear
Date
Completed Grade:
School attending:
Home Church:
Can have their photo taken and used for church publications:
Prefers to be in a group with: (we cannot guaruntee all requests, but we will do our best to honor them)
Allergies or Medical Concerns:
Days Attending:

Monday, June 26thTuesday, June 27thWednesday, June 28thThursday, June 29thFriday, June 30th
I am registering additional child(ren)

YesNo

Additional Child Registration form
Child's Name

First NameLast Name
Birthday:

MonthDayYear
Date
Completed Grade:
School attending:
Home Church:
Can have their photo taken and used for church publications:
Prefers to be in a group with: (we cannot guaruntee all requests, but we will do our best to honor them)
Allergies or Medical Concerns:
Days Attending:

Monday, June 26thTuesday, June 27thWednesday, June 28thThursday, June 29thFriday, June 30th
I am registering additional child(ren)

YesNo

Additional Child Registration Form
Child's Name

First NameLast Name
Birthday:

MonthDayYear
Date
Completed Grade:
School attending:
Home church:
Can have their photo taken and used for church publications:
Prefers to be in a group with: (we cannot guaruntee all requests, but we will do our best to honor them)
Allergies or Medical Concerns:
Days Attending:

Monday, June 26thTuesday, June 27thWednesday, June 28thThursday, June 29thFriday, June 30th
I am registering additional child(ren)

YesNo

Additonal Child Registration Form
Child's Name

First NameLast Name
Birthday:

MonthDayYear
Date
Completed Grade:
School Attending:
Home Church:
Can have their photo taken and used for church publication:
Prefers to be in a group with: (we cannot guaruntee all requests, but we will do our best to honor them)
Allergies or Medical Concerns:
Days Attending:

Monday, June 26thTuesday, June 27thWednesday, June 28thThursday, June 29thFriday, June 30th

Parent/Guardian Information
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name:

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Relationship to child:
Would you like to be contacted about being a volunteer?

YesNoAlready signed up :)
Is the emergency contact?

YesNoOther
Should be Empty:

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Child's Registration Information