Vacation Bible School 2022 — Erieside Church

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VBS 2022 REGISTRATION

"*" indicates required fields

CHILD INFORMATION (Register up to 3 below)

Child #1 Name*

First Last

Date of Birth

Gender*

Male

Female

Last school grade completed (Pre-K through 5th)*

Allergies & Medical/Chronic Issues (if any)

Child #2 Name

First Last

Date of Birth

Gender

Male

Female

Last school grade completed (Pre-K through 5th)

Allergies & Medical/Chronic Issues (if any)

Child #3 Name

First Last

Date of Birth

Gender

Male

Female

Last school grade completed (Pre-K through 5th)

Allergies & Medical/Chronic Issues (if any)

PARENT INFORMATION

Name of Parent(s)/Legal Guardian:*

Address:*

Street Address Address Line 2 City State ZIP Code

Parent/Caregiver's Contact #:*

Email Address*

In Case of Emergency Contact:*

Phone #:*

Relationship to Child*

Do you have a friend you'd like to be placed with? Write his/her name here:

People Authorized to Pick-Up Your Child (if you cannot):*

Do NOT leave blank ~ write "NONE" if there is to be no one else.

Will you/your child be joining us for a kid-friendly dinner at 5:30?*

YES

NO

SOME DAYS

Who will be joining us?

Child(ren) Only

Child(ren) & Parent

Other Comments & Information

Photography Consent*

YES

I grant Erieside Church and/or the VBS Leaders permission to photograph the minor(s) designated above in any manner for any lawful purpose associated with the VBS program

Electronic Signature (type your full name in space below):*

I agree that my electronic signature is the legally binding equivalent to my handwritten signature, and has the same validity and meaning as my handwritten signature.

I would like to volunteer for VBS by...

JOIN US FOR VBS 2022 at ERIESIDE

“SPARK – Created in Christ. Designed for God’s purpose” shows kids the foundation that lasts.

WHEN: JUNE 6-10

FOR : Ages 3 through 5th Grade

COST : Bring your kids to learn that God’s creativity didn’t stop in Genesis. The Master Artist is still working to redeem, reclaim, and transform us–His creation–to the design He planned for us. Kids will learn that that they are God’s workmanship as they learn to use their talents to bring glory to Him. VBS is FREE, but registration is required (registration opens April 18th)!

COME EAT WITH US! A FREE kid-friendly dinner will be provided each night from 5:30-6:15 pm for parents & kids.

5:30-6:15pm ~ Family Style Dinner (Everyone in the family is welcome)

6:15-8:00pm ~ VBS Program (Bible Lesson, Music, Recreation, Craft and Snack)
** NOTE: VBS ends at 8:00

FOR : Ages 3 through 5th Grade

COST : VBS is FREE, but registration is required!

COME EAT WITH US! A FREE kid-friendly dinner will be provided each night from 5:30-6:15 pm for parents & kids.

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