VBS Registration 2024

Participant Info

Child's Name

Child's Age

Last School Grade Completed

Date of Birth

Parent/ Guardian Name

This address will receive a confirmation email

Phone

Address

Emergency Information

Please list any allergies, medical conditions, or special needs.

Name of Emergency Contact

Phone Number of Emergency Contact

Emergency Contact's Relationship to Child

Permission Slips and Waivers

Please check your email for a link to the permission slip for VBS 2024. Please print out and complete the form and bring it with you on the first day of VBS. We need this slip on file in order to have your child participate.

I give Church on the Rock permission to use my child's image/voice in their print and online publications and social media pages.

Yes No

Sibling and Friend Info

Does your child have any siblings attending VBS? Please list names.

Does your child have a friend they would like to be close to during VBS? We will do our best to honor requests, but we cannot promise due to crew size restrictions.

Description

June 3-7, 2024 9am-noon daily

Get ready to dive into the adventure of a lifetime! At SCUBA VBS, kids discover what it means to have a friendship with God. Scuba VBS is open to children ages 5-12. Please fill out this form and click submit. You will need to fill out one form for each child you are registering.

VBS Registration 2024

Description

Please Fix the Following