2023 Vacation Bible School "Twists & Turns"

We would love to have your children join us for our Vacation Bible School! Registration can be completed below.

Dates & Times: June 26 - June 30 from 5:30 - 8:00 p.m.

Location: 101 S. Railway, Mascoutah, IL 62258

Ages: 3 - 11 years old or those who have just finished the 5th grade.

Daily Schedule:

5:30 p.m. - Dinner will be served for volunteers and participants in the gym.
5:30 to 6:00 p.m. - Participant drop off. *Please remember to sign your child in at the registration table in the Narthex.
6:00 p.m. - VBS opening in the Sanctuary.
8:00 p.m. - Participant pickup. *Please sign your child out and pick them up in the Sanctuary.

REGISTRATION

"*" indicates required fields

Parent/Guardian Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Mobile Number*

Email*

I would like to be contacted about volunteer opportunities for VBS.*

Yes

No

How many children are you registering?*

Child Information

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Name*

First Last

Date of Birth*

Last grade completed in school?*

Important information about this child*

Please list any medical, allergy, or other information we should know about your child. Food allergies should be included. If there isn't anything of note, please type "None".

Emergency Contact & Dismissal Information

Emergency Contacts*

*You do not need to include the parent/guardian listed in the first section.

Name

Mobile Number

Someone other than myself will be picking my child(ren) up from VBS.

Yes

Who may pick up your child at the end of each VBS day?*

Other Information

Does your child(ren) attend church? If so, where?

If your child(ren) is visiting our church, who are they a guest of?

May we have permission to photograph your child(ren)?*

Yes

No

May we have permission to use photographs that your child(ren) may be a part of for the purpose of promotion (such as website, newsletter, and social media posts)?*

Yes

No

Comments

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