CCUCC VBS Student Registration 2024

Date

Parent 1/Guardian Full Name

Parent 1/Guardian Preferred Phone

Parent 2/Guardian Full Name

Parent 2/Guardian Preferred Phone

Preferred Email

This address will receive a confirmation email

#1 Student Full Name

#1 Student Birthday

#1 Student Grade Level in Fall of 2024

#1 Student School Name

#1 Student T Shirt SIze

Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L

#2 Student Full Name

#2 Student Birthday

#2 Student Grade Level in Fall of 2024

#2 Student School Name

#2 Student T Shirt Size Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L

#3 Student Full Name

#3 Student Birthday

#3 Student Grade Level in Fall of 2024

#3 Student School Name

#3 Student T Shirt Size Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L

Is there anyone, besides parents, who are permitted to pick up your student(s) from VBS?

Are their any allergies/medical concerns CCUCC should be aware of? Please indicate child's name and nature of concern. If none, indicate by answering N/A.

May we post picture(s) of your students in the church or newsletter?

Yes No

May we post pictures of your student(s) on social media or the church's website?

Yes No

Is there anything else the teachers should be aware of?

I agree that CCUCC, staff and volunteers are not responsible for accidental injuries that occur during my student(s) time at VBS. I authorize such medical treatment as is necessary and such additional procedures as are considered necessary during the course of a medical examination.

I Agree

Description

June 24 thru June 28

CCUCC Vacation Bible School will be held Monday, June 24 thru Friday, June 28 from 9am-12pm. The last day to register is June 1st (or when 60 students have registered; whichever comes first). The cost of each student has been covered by a grant and includes a t-shirt. Please contact Shelly at office@theccucc.org for additional information.

VBS is for ages 3 years (for members of CCUCC) or 5 years (for non-members) thru 6th Grade. If your student(s) is entering 7th grade and up, they are welcome to assist with VBS by registering as a Helper. Please use the "Volunteer Form" to register their information.

CCUCC VBS Student Registration 2024

Description

Please Fix the Following