Children's Ministry

Children's Ministry Hands Resized.jpg

 

 

VBS 2018

June 24-27

6:30 - 8:00 PM

Ages 4-5th grade

 

 

 

REGISTER FOR VBS

Parent/Guardian Name *
First Name
Middle
Last Name
Address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Phone*
Email
Child's Name *
First Name
Middle
Last Name
Child's Age/Grade*
Please list any allergies or medical concerns
Child 2 Name
First Name
Middle
Last Name
Child 2 Age/Grade
Please list any allergies or medical concerns
Child 3 Name
First Name
Middle
Last Name
Child 3 Age/Grade
Please list any allergies or medical concerns
Child 4 Name
First Name
Middle
Last Name
Child 4 Age/Grade
Please list any allergies or medical concerns
Emergency Contact *
First Name
Middle
Last Name
Emergency Contact Phone*
In the event of an emergency, when the parent/guardian cannot be reached, I authorize the staff at Locust Grove Mennonite Church to exercise their best judgment in the care of my child/children*
hereby grant permission for photo/video images to be taken of my child/children and used in Locust Grove Mennonite Church publicity materials, including but not limited to website, brochures, newsletters and public presentations.*