VBS 2024 Registration

June 24th-28th, 6:00 PM-8:30 PM | The Great Jungle Journey VBS 2024
There will be music, games, snacks, crafts, Bible lessons, and a live drama each night.
All kids age 3 (potty trained) through 6th grade (completed) are welcome!

Child's Name

*

Age (as of June 1, 2024)

*

Please select one option.

3 4 5 6 7 8 9 10 11 12 13

Grade Completed in 2023/2024 School Year

*

Please select one option.

None Pre-K K 1 2 3 4 5 6

Parent Name(s)

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Church Attended

Allergies

Medical or Special Needs

If your child has special needs, does he/she require one on one supervision?

Please select all that apply.

Yes No

How did you hear about VBS?

Please select one option.

at CCC a friend Facebook CCC website Other

I give my permission for basic first aid if necessary. I understand I will be contacted if any further treatment is required.

*

Please select all that apply.

Yes No

I give my permission to publish photos containing my child on the church website/facebook page.

*

Please select all that apply.

Yes No

Name (Signature)

*

Description

June 24th-28th, 6:00 PM-8:30 PM

The Great Jungle Journey VBS 2024
There will be music, games, snacks, crafts, Bible lessons, and a live drama each night.
All kids age 3 (potty trained) through 6th grade (completed) are welcome!

Please Fix the Following

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