Christmas VBS

All children ages 4-12 are invited to an evening of bible lessons, crafts, games, music, snacks and fun. We hope to see you there!

The Christmas VBS will be on December 2nd from 6-8PM.

Christmas VBS Registration

Child's Name

First Last

Age(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Dad's/ Guardian's Name(Required)

First Last

Dad/Guardian Cell(Required)

Mom's/Guardian's Name(Required)

First Last

Mom/Guardian Cell(Required)

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Alternate Person Allowed to Pick up Child

First Last

Alternate Pick up Phone Number

Alternate #2 Person Allowed to Pick up Child

First Last

Alternate #2 Pick up Phone Number

Allergies or Health Concerns We Should Know About

Medical Release(Required)

I give my permission to Concord Presbyterian Church to consent to emergency medical treatment for my child. I understand that attempts will be made to contact me in the event of any illness or injury.

Discipline Agreement(Required)

If my child should become disruptive or fail to follow directions and respect the teacher(s), I agree to be called and to pick up my child immediately.