Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Emergency Contact Information

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Pick-Up Authorization

All children must be dropped off and picked up by an authorized adult.

Please list first and last name of all those that are not a parent or guardian that are authorized to pick up your child.

How Did You Hear About Us?

How Did You Hear About Kids Bible Camp?

Photo Release

I understand that photos/videos taken during Emerald Crossing Kids Bibe Camp may be used for promotional purposes by First Assembly of God and that no child's name will be included with any photos. I understand that I must send an email to lnhunt19@gmail.com prior to my child attending camp if I wish for my child's photo to be excluded from promotional photographs. Please check the box that you understand

Details

Registration Agreement

I understand that I am responsible for contacting the church to cancel my child's registration if they are unable to attend "Emerald Crossing" Kids Bible Camp. Due to limited registrations, we want to make sure all spots are filled with children who are planning to attend camp. Thank you. (If your child is unable to make a day or two that is fine, and this is more for children who will not be coming at all.) Thank you for your understanding. You can contact Lisa Hunt at lnhunt19@gmail.com Registration Agreement (Please check that you understand)

Details

Student Information

Gender

Birth Date

Age Group

Does Your child have any allergies or medical conditions? If so, please check the box below, and give any further information we should be aware of.

Food Allergies

Details

Medical Concerns

Details

Group with a friend?

Do you wish to be with a friend that is also registering? (Children are grouped by age) List child's first and last name you wish to be grouped with. This is not a guarantee.

Friends First and Last Name

Kid Bible Camp T-shirt

"Emerald Crossing" KBC Theme Shirts

T-shirt Size Youth XS Youth S Youth M Youth L Youth XL Not interested

Registering More than 1 Child?

I have more students to register