Gibsonburg Community Church Trinity Campus
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Shipwrecked VBS
Please note: 5th-8th Graders will be transported to and from our sister church Faith UMC, 795 W. Madison Street by adult chaperones.
VACATION Bible School
June 11-15 9am-12pm
3year old's-8th. grade!
2018 VBS Registration
*
Indicates required field
Name
*
First
Last
Grade going into.
*
3 (by Jan.1st.) & 4 years old must be potty trainied
Kindergarden
1st. grade
2nd. grade
3rd. grade
4th. grade
5th. grade I am giving my permission for transportation to and from Faith UMC, 795 W. Madison Street by adult chaperones.
6th. grade I am giving my permission for transportation to and from Faith UMC, 795 W. Madsion Street by adult chaperones.
7th grade I am giving my permission for transportation to and from Faith UMC, 795 W. Madsion Street by adult chaperones.
8th. grade I am giving my permission for transportation to and from Faith UMC, 795 W. Madsion Street by adult chaperones.
T-Shirt Size
*
Child X-Small 4-5
Child Small (6-8)
Child Med. (10-12
Child Large (14-16)
Adult Small
Adult Med
Adult Large
Adult X-Large
Age
*
Birthday
*
Parent/Guardian Name
*
Home Address
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City and zip code
*
Home Phone
*
Emergency contact person
*
Cell Phone
*
Emergency contact phone number
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Home Church
*
Email Address
*
Allergies or other medical conditions (this will be listed on their name tags)
*
Alternate People that are allowed to pick up your child
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5th-8th grade ONLY. My child does need signed out at the end of the day
*
Yes
No
I agree to receiving marketing and promotional materials
Submit
Welcome
Media
Shipwrecked VBS