CCUCC VBS Student Registration 2026

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 2026

#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 2026

#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 2026

#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

July 13 thru July 17 9am-12p

CCUCC Vacation Bible School will be held Monday, July 13th thru Friday, July 17th 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 office@theccucc.org for additional information.

VBS is open to all children ages 3 and up (must be potty trained) 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 2026

Description

Please Fix the Following