Vacation Bible School - 2019
"ROAR"
"Life is Wild - God is Good"

Sponsored by:
First Presbyterian Church and
Saint John Lutheran Church
Bellevue, Iowa

Sunday, July 28th through Thursday, August 1st
5:00 PM until 8:05 PM
at Saint John Lutheran

 

Open to All Youth who are going into Kindergarten through those entering 6th Grade!

Youth entering 7th grade and older are invited to be Crew Leaders or Leaders in Training!!

(* denotes a field that must be filled in)

You will receive a copy of this via email to verify that we have received it.


2019 Registration for Vacation Bible School
Parent/Guardian Name *
Street Address
City - State - Zip Code
Phone # *

###
-
###
-
####
Email Address
Willing to help at VBS?
 YES, I'm willing to volunteer. 
Church Affiliation

****** Emergency Contact Information ******

Emergency Contact *
Phone # *

###
-
###
-
####

****** Youth Attending VBS ******

This section is for listing the youth participating in this year's VBS as student.
NAME #1 *
Date of Birth *

MM
/
DD
/
YYYY
Child's Current Age *
Grade entering fall
of 2019
*
Food Allergies or Medical Concerns
   
NAME #2
Date of Birth

MM
/
DD
/
YYYY
Child's Current Age
Grade entering fall
of 2019
Food Allergies or Medical Concerns
   
NAME #3
Date of Birth

MM
/
DD
/
YYYY
Child's Current Age
Grade entering fall
of 201
9
Food Allergies or Medical Concerns
   
NAME #4
Date of Birth

MM
/
DD
/
YYYY
Child's Current Age
Grade entering fall
of 2019
Food Allergies or Medical Concerns

****** Interested in being a Crew Leader ******

For youth entering 7th grade and older who would like to help at VBS
NAME #1
Grade in School
Volunteer Status
(please indicate whether new or returning)
   
NAME #2
Grade in School
Volunteer Status
(please indicate whether new or returning)

****** Authorizations ******

for transport of 5th & 6th graders to Retreat Center and use of pictures.
Transportation Authorization for 5th & 6th Graders
 Yes-I give permission for the VBS volunteer to transport my child to Saint John Retreat Center 
 No-I do not want my child transported to Saint John Retreat Center 
Authorization to use photos
 Yes, I give permission for the VBS staff to photograph/record my child and to possibly use it in our daily VBS slide show, Facebook Page and/or on the Saint John TV channel 
 No, please do not use photos taken of my child/children. 

QUESTIONS?  CALL:

FIRST PRESBYTERIAN  CHURCH AT
 (563) 872-4853
bellpres305@gmail.com

SAINT JOHN LUTHERAN CHURCH AT
 (563) 872-5849
stjohn@iowatelecom.net

 

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