2023 Vacation Bible School Registration- Changemakers Lab

Child's Name

Child's Birthday

Grade Child just completed

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. YES NO

Emergency Contact Name

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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.

YES NO

LIABILITY RELEASE: In consideration of Ark and Dove allowing the above child(ren) to participate in Vacation Bible School activities, I, the undersigned, do hereby release, forever discharge, and agree to hold harmless Ark and Dove, its directors, employees, volunteers, and agents (collectively herein the “Church”) from any and all liability, claims or demands for accidental personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the above child(ren) while involved in Vacation Bible School. Furthermore, on behalf of my minor child(ren), I hereby assume all risk of accidental personal injury, sickness, death, damage, and expense as a result of participation in activities involved therein.

YES

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

YES

To offset the cost of this program a suggested donation of $25 (MS) and/or $5 (PK-5th grader) is recommended.

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Description

July 10th - July 14th, 6:00 - 8:00 PM

Thank you for your interest in Vacation Bible School at Ark and Dove Presbyterian Church. This summer's theme for PK (4) - Rising 5th Graders is: Changemakers Lab. They will discover and share creative ways to make a difference in the world through words and actions. Changemakers Lab invites children to ask questions, make observations, and work together to solve problems, as well as see and experience the transforming love of God.
Our Middle Schoolers will focus on learning about the 6 marks of discipleship throughout the week. They will have opportunities to do activities and learn about Daily Prayer, Daily Bible Reading, Regular Worship Attendance, Commitment to Spiritual Growth and Relationship Building, Generous Stewardship, and Acts of Mission, Mercy, and Justice. There are plans to have 2 off site activities during this time. (Bowling Alley and Skate Center). More details will be shared with participants who sign up.

2023 Vacation Bible School Registration- Changemakers Lab

Description

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