Vacation Bible School - 2018
"Shipwrecked"
"Rescued by Jesus"

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

Sunday, July 29th through Thursday, August 2nd
5:00 PM until 8:05 PM
at First Presbyterian Church

 

Open to All Youth who are 4 years old 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.


2018 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 # *

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-
###
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####

****** 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 2018
*
Food Allergies or Medical Concerns
   
NAME #2
Date of Birth

MM
/
DD
/
YYYY
Child's Current Age
Grade entering fall
of 2018
Food Allergies or Medical Concerns
   
NAME #3
Date of Birth

MM
/
DD
/
YYYY
Child's Current Age
Grade entering fall
of 2018
Food Allergies or Medical Concerns
   
NAME #4
Date of Birth

MM
/
DD
/
YYYY
Child's Current Age
Grade entering fall
of 2018
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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