Dr. Seuss on the Loose VBS

AUGUST 26-30, 2019

Here – There – and Everywhere – Finding God’s Love with Dr. Seuss

Games * Crafts * Music * Snacks * Dynamic Lessons

Check-in is from 8:50am – 9:00am * Doors do NOT open before 8:45am

TO ENSURE A SPOT FOR YOUR CHILD PLEASE COMPLETE AND SUBMIT THE FORM BELOW (one form for each child)

Parent/Guardian Name(required)

Parent/Guardian Name

Cell and/or Home Phone(required)

Parent/Guardian Email(required)

Child's Name(required)

Date of Birth(required)

Grade Child is in this year(required)

Address(required)

City(required)

Province(required)

Postal Code(required)

Medical Information: Medical information we need to know. Please include any food allergies (if none please type NONE)(required)

Emergency Contact Name(required)

Emergency Contact Phone Number(required)

Who may pick up your child at Noon Each Day - Children will only be released to those listed here(required)

May we have permission to photograph your child to use in church promotional materials?(required)

Yes No Only Print Materials - Not Website or Facebook

(required)

I am aware

Additional Comments

Your Neighbourhood Church