VBS registration form 2017.pdf

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Vacation Bible School June 19-23, 2017 5:30-8:00 PM

“In Deep Sea Discovery, kids dive into God’s presence by delving deep into His Word to see how He has been with His people every step of the way. Every kid will sail away each day saying “God is with me – wherever I go! He KNOWS me, HEARS me, STRENGTHENS me, LOVES me, and SENDS me!” Your kids will experience a VBS adventure like no other!”

(Light dinner provided) Age 4 years – 5th Grade, youth and adults Nursery Care provided (children 3 and under) Return completed form to the church office or email it to [email protected] by June 14,2017.

East Naples United Methodist Church 2701 Airport Road South Naples, FL 34112

Participant’s name ______________________________________________ Male _____ Female ____ Child________ Age _______ Grade(completed) _______ Birthdate ___________________ VBS T-shirt – They are the SAME as last year. If your child’s shirt still fits, no need to order another. MUST PRE-ORDER BY June 2, 2017 Size Please Circle: Child Sizes: XSmall Small(6-8) Medium(10-12) Large(14-16) XLarge Adult Sizes: Small(34-36) Medium(38-40) Large(42-44) XL(46-48) 2XL (48-50) Allergies or other medical conditions: ______________________________________________________________ _____________________________________________________________________________________________ Parent/Guardian Name _________________________________________________________________________ Email Address _________________________________________________________________________________ Address ______________________________________________________________________________________ City ______________________________________________ Zip Code _______________________________ Home Phone ___________________ _____________ Cell Phone ____________________________________ Work Phone _________________________________ Home Church _________________________________________________________________________________ Friend(s) you would like to be with (We will try our best to honor your request) ___________________________ By registering your child for VBS you acknowledge that pictures will be taken of your child and may be used to promote the church (children’s names will not be included). You also acknowledge that Vacation Bible School takes place on the entire church campus, and that your child(ren) will be moved from one building to another.

Emergency Information (Please provide names and phone numbers) This information is required. Others who are authorized to pick up this child _____________________________________________________ _____________________________________________________________________________________________ Secondary Contact (friend or relative) _____________________________________________________________ _____________________________________________________________________________________________ Family Doctor _________________________________________________________________________________

Questions??? Call East Naples United Methodist Church 774-4696 and ask for Kris Chisholm. Other Information for Church use only Group Name _______________________________________ Are parents helping with VBS? ____