Vacation Bible School Registration- 2019

July 8th - July 12th, 6:00 - 8:00 PM | Thank you for your interest in Vacation Bible School at Ark and Dove Presbyterian Church. This summer's theme is: Who is my Neighbor? Learning to Love Like Jesus.
Children in Pre-K (age 4-5) through grade 8 are invited to learn how to love all of our neighbors, near and far, just like Jesus.

Child's Name

Child's Birthday

Grade Child just completed

Please select one option.

Age 4-5/Pre-school Kindergarten First Second Third Fourth Fifth Sixth Seventh Eighth

Parent/Guardian Name

Parent/Guardian email

This address will receive a confirmation email

Parent/Guardian Work/Cell Phone

Address (physical address of child/family)

I give consent for any photos of my child taken during VBS to be used in media and publications such as the Arkive and Ark & Dove website.

Please select all that apply.

YES NO

Emergency Contact Name

Emergency Contact Phone

Please list any allergy, dietary or medical concerns

I hereby understand that my child will be supervised and that if a health problem or injury arises, I will be notified. If I cannot be reached by phone, medical treatment and/or hospital care will be administered by competent medical personnel including medication, injections, anesthesia, surgery, or other proper treatments and necessary information may be released for insurance purposes. I verify that all health issues are so noted on this form.

Please select all that apply.

YES NO

I acknowledge that the information I provided on this form is accurate, to the best of my knowledge:

Please select all that apply.

YES

Description

July 8th - July 12th, 6:00 - 8:00 PM

Thank you for your interest in Vacation Bible School at Ark and Dove Presbyterian Church. This summer's theme is: Who is my Neighbor? Learning to Love Like Jesus.
Children in Pre-K (age 4-5) through grade 8 are invited to learn how to love all of our neighbors, near and far, just like Jesus.

Vacation Bible School Registration- 2019

Description

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