2024 SCUBA VBS Registration

2024 SCUBA VBS Registration Form

June 24-26 , 6:15-8:30 p.m.
Child's Name:*

First NameLast Name
Grade Level:*
Put grade level that child is entering in fall. If going into Pre-K or K, just put a zero and in the "Special Needs" blank, make note that they are going into Pre-K or K.

Parental Consent

I hereby consent to let my child participate in the event Stellar VBS. It is understood that every precaution will be taken for the safety and well-being of my child, but in the event of accident or sickness, Crossroad Community Church, its staff, and its volunteers are hereby released from any liability.
Child's Name:*

First NameLast Name
Grade Level
Parent's Name:*

First NameLast Name
Date:

MonthDayYear
Date
Hour MinutesAM/PM Option
By submitting this form, I give consent to Crossroad Community Church of the child above
Signature
Please verify that you are human*
Should be Empty:

2024 SCUBA VBS Registration Form