VBS Registration

Vacation Bible School 2018

Go on a Rolling River Rampage with us between Monday, July 23rd, and Friday, July 27th, from 6:30 to 8:00 PM.

You can drop children off as early as 6:15. There will be activities for them in the sanctuary.

Registration

To register for the 2018 Vacation Bible School, just follow these steps:

1. Get the registration form here:

vbs_child_registration_pdf_form.pdf
File Size:	25 kb
File Type:	pdf

Download File

or complete online form below
and skip #2:

2. Email the completed form and any additional questions to:

scarlett.manker@gmail.com

Vacation Bible School Child Registration Form

* Indicates required field

Child's Name *

First

Last

Gender *

Male Female

Child's Birth Date (m/d/yyyy) *

Last Grade Completed *

Primary Guardian's Name *

First

Last

Primary Guardian's Phone Number *

Primary Guardian's Relationship to Child *

Primary Guardian's Email *

Additional Guardian's Name *

First

Last

Additional Guardian's Phone Number *

Additional Guardian's Relationship to Child *

Additional Guardian's Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different) *

Line 1

Line 2

City

State

Zip Code

Country

Does your child attend Sunday School? If so, where? *

If your child is visiting our church, whom is he or she a guest of? *

Person(s) other than parents/guardians allowed to pick up child from VBS (list full name and phone number) *

Medical Information

Allergies or other medical conditions *

In case of emergency, contact *

First

Last

Other Emergency Contact *

First

Last

Phone Number *

Other Phone Number *

Relationship to Child *

Other Contact's Relationship *

Other Information

May we have permission to photograph your child? *

Yes No

May we have permission to use your child's photograph for the purposes of promotion? *

Yes No

Check this box to confirm that the above information is accurate and your child has permission to attend Vacation Bible School at ACC. *

I Confirm

Do you have any additional questions for us? *

Email or Phone Number for Additional Questions *