Musical Vacation Bible School Registration Form

Student Registration

Your answers will help us determine where to place your child for the week.
Student's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Birthdate*

MonthDayYear
Date
Has your child attended our VBS before?*

YesNo
What grade is your child in?*
Shirt Size*
Emergency Contact*

First NameLast Name
Phone Number*
Parent/Guardian's Email Address*
example@example.com
Students will be greeted in the Chapel Lobby. They will be signed in and signed out at the desk. This is where they will receive their nametags every day. They will be monitored as they do various table activities while we have our Staff Huddle and Prayer before the Opening Assemblies.

You are welcome to stay for the Opening Assemblies and Closing Assemblies. Otherwise, if you are planning to drop them off, please be sure to be on time to sign them out by 8:00 PM.

If you are running late, please call the office at (925) 676-6180 to let us know.
If the emergency contact person is not providing transportation, who will be? Please give name and cell phone number for those persons approved to sign-in and sign-out your child.
Is there anyone prohibited from being near your child? What are we supposed to do if we have an encounter with this person?
Do you have a church home?*

NoYes
If "yes," what church?
Are there any special needs that we need to be aware of? Food allergies? Behavioral concerns?
What other accommodations may we need to consider in order to make your child feel safe and welcome here?
If an adult track were an option, would you stay? What would you be interested in doing?
We want to be as inclusive as possible. However, depending on the needs or requests, we may be unable to accommodate them. We will have a conversation with you to discuss your needs and concerns, allowing us to come to a mutual understanding and find a workable solution.

You and your family are invited to attend the Graduation and Celebration on Sunday, October 12th, at 11:00 AM. The children will have an opportunity to share what they've learned during the week.

Majors Gwyn & AnnMarguerite Jones, Pastors/Corps Officers
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Student Registration