2018 VBS "Under Construction - God at Work!"

June 25-28, 2018 5:30-8PM | Please complete this form and submit! If you have any questions about this form, please contact Kris Buckman at 240-674-1388 or sunnydae75@verizon.net. Thank you!

Child's Name

Birthdate (month/day/year)

Curent school grade:

Please select one option.

pre-k K 1st 2nd 3rd 4th 5th

School child attends:

Child's t-shirt size

Please select one option.

YS YM YLG YXL

Additional Participating Child(ren): please list name, birthdate, school grade just completed, allergies/medical concerns and t-shirt size

Volunteers: Adults, middle and high school students wishing to volunteer, please list name, school, grade, t-shirt size and personal contact info.

Parent/Guardian's Name

Address

Cell Phone

This address will receive a confirmation email

Emergency Contact Name

Emergency Contact Phone

Other adults my child may go home with:

Allergies/Medical Concerns

Does TCBC have permission to use photos/videos of my child for promotional purposes?

Please select all that apply.

Yes No

Do you authorize staff/volunteers of TCBC to treat or seek medical treatment in the event of an emergency?

Please select all that apply.

Yes No

Please let us know how you heard about VBS this year:

Please select one option.

Social Media Flyer in child's school Friend/Family member Attended VBS last summer Attended TCBC's BLAST program last year I am a TCBC member Banner Other

Do you/your family currently have a church home?

Please select all that apply.

Yes No

If so, please share with us where you attend church:

Description

June 25-28, 2018 5:30-8PM

Please complete this form and submit! If you have any questions about this form, please contact Kris Buckman at 240-674-1388 or sunnydae75@verizon.net. Thank you!

2018 VBS "Under Construction - God at Work!"

Description

Please Fix the Following