Grace Covenant Church

VBS Registration

June 10-14, 2019

9:00am - Noon

At ROAR VBS, Kids will be a part of fun Bible-learning experiences they can see, hear, touch, and even taste! Imagi-nation Station Experiments, team-building games, cool Bible songs, and tasty treats are just a few of theactivities that help faith flow into real life.

ROAR is great fun for children 3½ years old (must turn 3 prior to January 1, 2019) up to those entering the 6th grade in the 2019-20 school year. The preschool program includes children 3½ -5 years old who have not completed kinder-garten. The elementary program is for those children who have completed kindergarten through those entering the 6th grade.

$15.00 per child

Scholarships are available, see Liz Simoneaux

Please complete the following information:

Primary Parent / Guardian
First Name:
Last Name:
Phone:
Email:
Relation to Children:
 

Secondary Parent / Guardian
First Name:
Last Name:
Phone:
Email:
Relation to Children:
 

Address
Address:
City State Zip:
 

Number of children to register:

Child 1
First Name:
Last Name:
Sex:
DOB: mm/dd/yyyy
Last grade attended:
Name of a friend your child might like to be with during VBS:
Actively involved in a church? If so, which church?
Allergies or other medical conditions:
 

Second Child
First Name:
Last Name:
Sex:
DOB: mm/dd/yyyy
Last grade attended:
Name of a friend your child might like to be with during VBS:
Actively involved in a church? If so, which church?
Allergies or other medical conditions:
 

Third Child
First Name:
Last Name:
Sex:
DOB: mm/dd/yyyy
Last grade attended:
Name of a friend your child might like to be with during VBS:
Actively involved in a church? If so, which church?
Allergies or other medical conditions:
 

Fourth Child
First Name:
Last Name:
Sex:
DOB: mm/dd/yyyy
Last grade attended:
Name of a friend your child might like to be with during VBS:
Actively involved in a church? If so, which church?
Allergies or other medical conditions:
 

In the case of an emergency, please contact:

Note: Items with RED labels are required.



Thank you for registering for this summer's VBS!

We are blessed by your involvement.



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