Changemakers Lab Vacation Bible School 2023

Bay Shore Church Vacation Bible School 2024

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 E. The Toledo, Long Beach

Bay Shore Community Congregational Church (UCC)
WHEN: Monday - Friday, June 17-21

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). If $100 is more than you can afford, simply donate what you can.

Please send a packed lunch and snack with your child each day (labeled with your child's name). We will provide one snack per day.

Parents of PreK/TK/K children, please send an extra change of clothes with your child each day.

If you have middle school or high school youth in your family who would like to help, please register them as well and note that they would like to serve as a counselor.

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 2024*
Parent/Guardian's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Primary Phone*

Area CodePhone Number
Secondary 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
Will your child be available to participate in the Friday pizza party and performance (5:00-6:15PM)?*

YesNo
Does your child have any allergies or dietary restrictions that we need to be aware of?*
Does your child have any medical concerns or social/behavioral needs that we need to be aware of?*
Are there particular situations or environments that are challenging for your child?*
Is there anything else we should know about your child?
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*
Should be Empty:

Bay Shore Church Vacation Bible School 2024

WHERE: 5100 E. The Toledo, Long Beach

WHEN: Monday - Friday, June 17-21

WHO: Kids Age 4 Years Through 6th Grade