VBS 2024 Registration Form Hometown Nazareth, Where Jesus was a Kid!

Child #1

Child's name

Child's age

Child's gender

Male Female

Date of birth

Grade entering

This child would like to be in the same group as:

Child #2 (Optional)

Child's name

Child's age

Child's gender Male Female

Date of birth

Grade entering

This child would like to be in the same group as:

Child #3 (Optional)

Child's name

Child's age

Child's gender Male Female

Date of birth

Grade entering

This child would like to be in the same group as:

Child #4 (Optional)

Child's name

Child's age

Child's gender

Date of birth

Grade entering

This child would like to be in the same group as:

Contact Info

Name of parent(s)

Address

Primary contact number

This address will receive a confirmation email

Home church

Crew number or name (for church use only)

Allergies

Does your child have disabilities? (Optional)

Photo Permission:

YES. I give LRC permission to take pictures of my child(ren) for LRC promotional material. NO. I DO NOT give LRC permission to take pictures of my child(ren) for LRC promotional material.

In the event of inclement weather, we will post change of venue plans via text message. The number you enter above will receive any change of plans information.

In case of emergency, contact:

Phone

Relationship to child

Payment

There are two registration options: single child for $30 or family for $60 (2 or more children qualify for the family rate). Each family must register SEPARATELY. If you have already paid or received a scholarship, select the ALREADY PAID or SCHOLARSHIP option at the very bottom. Contact Kathy Sutherland to request a scholarship.

Registration:

Anything else we need to know?

OPTIONAL: VBS theme shirts will be available to purchase beginning in May at the Sunday Kids Ministry Check-In Table for $8 each.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 23-27, 5:55-8:15

Join us for a faith-filled outdoor adventure! For ages 3 (must be potty trained) through 6th grade. Register Soon! $30 per individual; $60 per family. After May 31st: $35 per individual; $70 per family. Registration will close when we have reached full capacity.

Dates: June 23-27 (Sun-Thurs)
Time: 5:45-8:15 p.m.
Location: LRC church property (17125 County Road 31, Norwood Young America, MN 55368)

IMPORTANT: Each family must register separately. If finances are a concern, contact:

Kathy Sutherland, ksutherland@livingrockchurch.com

And don't forget to click submit when you finish!

VBS 2024 Registration Form Hometown Nazareth, Where Jesus was a Kid!

Description

Please Fix the Following