Living Hope EPC's 2024 VBS Registration

June 10-14, 2024 from 9 AM - 12 PM | Welcome to Living Hope EPC's Breaker Rock Beach VBS! We are thrilled to have you join us for this fun, TRUTH-packed week!

Child Info

Children will be placed in multi-aged groups with their siblings.

Child's Name

Date of Birth

Grade for 2024-25 School Year

Please select one option.

Kindergarten 1st 2nd 3rd 4th 5th

Allergies/Medical Conditions

Parent Info

Name

This address will receive a confirmation email

Primary Phone

Address

Home Church

Please select one option.

Living Hope Presbyterian Other No Church Affliation

I would like to volunteer at VBS!

Please select all that apply.

Contact me!

Medical Release

Living Hope Presbyterian Church's VBS Staff has my permission to seek medical attention in the case of an emergency. I will not hold the church or VBS responsible for any injury or illness that may occur during the week. I understand that I will be responsible for any financial obligation on any medical treatment given to my child.

Please select all that apply.

Yes

I will not send my child to VBS if they, or other members of our household, have a fever or other signs of illness.

Please select all that apply.

YES

Photo Release

Your child's picture may be used on the Living Hope Presbyterian Church's website, Facebook page, etc.

Please select all that apply.

Yes, allow my child's photo to be used No, do NOT allow my child's photo to be used

Pick Up & Emergency Contact Information

Please provide name, phone and relationship to child.

Other than myself, my child may be picked up by:

In an emergency where a parent cannot be reached, please contact:

Description

June 10-14, 2024 from 9 AM - 12 PM

Welcome to Living Hope EPC's Breaker Rock Beach VBS! We are thrilled to have you join us for this fun, TRUTH-packed week!

Living Hope EPC's 2024 VBS Registration

Description

Please Fix the Following