2021 VBS Registration

Welcome to Marion Road Christian Church's 2021 VBS! This year's theme is Rocky Railway, where we will discover how Jesus' Power Pulls Us Through!

VBS is for kids 2 years old - entering 5th grade in the fall of 2021.

If you have any questions or need help submitting this form, please contact Whitney at office@marionchurch.com.

Parent/Guardian Information

Name

This address will receive a confirmation email

Address

Phone

Are you the child's emergency contact?

Yes No

Additional Emergency Contact Information

If someone other than the parent should be listed as an emergency contact, please enter the information below.

Name

Phone

Relationship to Child

Additional Comments

Child #1 Information

Name

Date of Birth

Age/Grade Entering Fall 2021

Please list any allergies or other medical information about this child

Additional Comments

Child #2 Information

Name

Date of Birth

Age/Grade Entering Fall 2021

Please list any allergy or medical information about your child.

Additional Comments

Child #3 Information

Name

Date of Birth

Age/Grade Entering Fall of 2021

Please list any allergy or medical information about this child

Additional Comments

Child #4 Information

Name

Date of Birth

Age/Grade Entering Fall of 2021

Please list any allergy or medical concerns about this child

Additional Comments

Child #5 Information

Name

Date of Birth

Age/Grade Entering Fall of 2021

Please list any allergy or medical concerns about this child

Additional Comments

Child #6 Information

Name

Date of Birth

Age/Grade Entering Fall of 2021

Please list any allergy or medical concerns about this child

Additional Comments

2021 VBS Registration

Description

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