MAKER FUN FACTORY - Vacation Bible School 2017

July 17th - July 21st

6:30 pm to 8:30 pm

 
 

A world where curious kids become hands-on inventors

who discover they're lovingly crafted by God.

 
Child Registration Form

Child's First Name (required)

Child's Last Name (required)

Child's Birthday (required)

Child's Age (required)

Child's Current Grade (required)

Will your child be entering Kindergarten this school year?(required)
 Yes No

Food Allergies? (required)
 No Yes

If Yes, please list food allergies below.

Medical Concerns? (required)
 No Yes

If Yes, please explain below.

Siblings attending VBS: (please list names)

Parents’ or Guardians’ First Name (required)

Parents’ or Guardians’ Last Name (required)

Mailing Address: (required)

City: (required)

State: (required)

Zip Code: (required)

Home/Cell Phone: (required)

Other Phone#:

Your Email (required)

Emergency Contact Person(required)

Emergency Contact Phone Number(required)

Persons other than parents/guardians authorized to pick up your child:

Relationship to Child:

Home/Cell Phone:

Other Phone#: