2017 Vacation Bible School
On-Line Registration Form

VBS 2017
June 19-23, 2017 - 9 a.m. to 12:30 p.m.

* = Required

FAMILY INFORMATION

Parents/Guardians (Parent 1 will be the "primary" contact for communications with OSLC; please enter their address)

Parent/
Guardian
*First Name *Last Name *Primary Phone Secondary Phone *Email

Emergency Contact (if other than parent/guardian listed above)

First Name Last Name *Phone during Activity
Authorized Pick-up Person (if other than parent/guardian listed above)

I hereby give permission for the bearer of this form to seek medical assistance from a licensed physician in the case of an emergency if they are unable to reach me.

   Parent or guardian must type their full name in the box
How did you find out about us?
22+55=   Type the result of the addition.

CHILD INFORMATION

We encourage your children to invite their friends to register for Vacation Bible School.

Registration Fee: $25 for the first child and $20 for each additional.

*Child 1 First Name *Child 1 Last Name *Gender *Birth Date *Grade
as of 9/1/2017
   
List first and last name of up to 2 friends to place with
(if different ages, children will be placed in the lower grade level)
Child 2 First Name Child 2 Last Name Gender Birth Date Grade
as of 9/1/2017
   
List first and last name of up to 2 friends to place with
(if different ages, children will be placed in the lower grade level)
Child 3 First Name Child 3 Last Name Gender Birth Date Grade
as of 9/1/2017
   
List first and last name of up to 2 friends to place with
(if different ages, children will be placed in the lower grade level)
Child 4 First Name Child 4 Last Name Gender Birth Date Grade
as of 9/1/2017
   
List first and last name of up to 2 friends to place with
(if different ages, children will be placed in the lower grade level)

T-SHIRT AND MUSIC CD

  • T-Shirts and Music CDs are available for purchase at checkout when paying by credit card or bank draft.
  • If you are paying by check and would like to order shirts or CDs, please phone Cari Ann Petersen or email her at cpetersen@oursaviours.org.
  • A limited number will be available for purchase during VBS.
Adult T-Shirt

Price: $8.00

Child T-Shirt

Price: $4.00

Music CD

Price: $7.00

 

Total Includes Registration Fees ONLY.

*PHOTO POLICY

We will take photos of VBS activities for publicity purposes which may include posting on the church website: www.oursaviours.org or on Facebook. Individual participants will NOT be identified in these photos.


*PARENT VOLUNTEER INFORMATION

You are expected to volunteer in at least one area. Please check one or more of the following:

Unless otherwise noted, the following volunteer opportunities can be for a one, two, three, four, or five-day commitment during VBS hours. Lesson plans and activities are provided for those volunteering to teach or to lead centers.


Grade preference:


Assistance is needed for the following volunteer opportunities during flexible non-VBS hours. The time commitment varies with each job.

I will need to use the nursery for:
Name Age
I have a middle school youth that would like to help:
Name Phone
* Required

Email cpetersen@oursaviours.org if you encounter any problems with this form.