VBS

 

SHBC VBS Child Registration 2012

Dates: June 11th – 15th

Times: 9:00am-12:30pm

Description:
Registration for the SHBC VBS is free and is for all children who have completed 1st grade through children who have completed 6th grade as of June 11, 2012.*

*Kindergarten is open to the first 10 students enrolled who have completed Kindergarten as of June 11, 2012.

To register simply fill in all the fields listed on this form and hit send at the bottom of the page.  If you have any questions please call the church office at 209-823-2089.

Registration Form
Child Name
Parent Name
Address
Mailing Address(if different)
Phone Numbers
Primary
Work
Cell
Your Email
Age Information
Birth date
Last grade completed in school
Important Information
Medical / other information we need to know.
Emergency Contacts
Primary Contact Name
Primary Contact Number
Secondary Contact Name
Secondary Contact Number
Dismissal Information
Who may pick up your child at the end of each VBS day?
Other Information
Do you attend Sunday School? If so where?
If you are visiting our church, who are you a guest of?
May we have permission to photograph your child?
May we have permission to use your child's photograph for the purpose of promotion?
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