Gibsonburg Community Church Trinity Campus
Welcome
Media
Shipwrecked VBS
June 15th. thru June 19th. 9am-12:15pm
Pre-School—8th. Grade
(middle school youth will experience their
own adventure separate from the younger kids)
Registrations received by May 15th.
will receive a
FREE CD!
(one per family)
*
Indicates required field
Name
*
First
Last
Child's name who will be attending VBS
Grade Entering
*
Pre-School
Kindergarden
1st grade
2nd. grade
3rd. grade
4th. grade
5th. grade
6th., 7th. & 8th. grade
Age
*
Birthday
*
Parents/Guardians
*
Home Address
*
Home Phone
*
Emergency Contact person
*
Cell Phone
*
Emergency Phone Number
*
Home Church
*
Email
*
Allergies or other medical conditions
*
Alternate People that are allowed to pick up your child
*
I give permission for my child to be photographed and videotaped during church activities. My child’s image may appear in print or online promoting the church’s activities. I understand that my child’s name will not be used to identify my child.
*
Yes
No
If you have questions, please call the office at 419-637-2159.
Office hours are Tues. 9-Noon and Wed. & Thurs. 9am –3pm
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Welcome
Media
Shipwrecked VBS