Vacation Bible School
VACATION BIBLE SCHOOL
Click here to download and print a copy of the form
July 31 – August 3, 2023
6:00 – 8:00 pm
Children’s Registration Form
Ages 3 through Grade 5
Must have turned 3 on or before January 1, 2023 to register.
Family Name: _________________________________________
Parent’s First Name: ___________________________________
Address: ____________________________________________
Telephone: (H) _______________________ (C) ________________________
E-mail: _________________________________________________________
Child’s Name: Date of Birth Gender Grade Completed Allergies?
_____________ ____________ ________ _____________ _________________
_____________ ____________ ________ _____________ _________________
_____________ ____________ ________ ____________ __________________
Emergency Contact other than parents:
Name: ____________________________________
Telephone number: __________________________
Relationship to child: _________________________
Registration Fee and Information:
If pre-registered prior to July 26, 2023, there is no registration fee.
There is a late registration fee of $5 per child (if received after July 26, 2023).
Please make checks payable to CPC (if paying a late registration fee).
Photo Release Waver:
I give permission for my child to be photographed and videotaped for the VBS program at Celebration Presbyterian Church. I understand that these photos/videos will be used in the future for publicity and will be posted on the church’s website. I understand that names or personal information will never be released. (Initial) ________
Our mission project this year for VBS is to collect backpack items for “Help4Kids,” a non-profit organization that fills these backpacks for school for underprivileged children. Any and all school supplies your children can bring each evening to VBS, will be greatly appreciated.