Hope Community Church Vacation Bible School Registration Form 2019

Hope Community Church
Vacation Bible School
Registration Form
2019

June 10th through June 14th ~ 9:00 a.m. to 12:00 p.m.
4 yr. old (by June 14, 2019) through 5th Grade Graduates
Important Info:
1. We will be using the computerized check-in (available at 8:15 am) to get daily name tags for the children. This must be done by a parent or the adult responsible for the children.
2. Security codes (which change daily) will be given at check-in time along with the children’s name tag and must be presented when children are picked up in The Worship Center (Elementary) and/or The Children's Great Room (Preschool) at noon.
3. If the person who checks-in the child is NOT the pick-up person, please see registration staff. You will be able to leave your security code along with the pick-up person’s name. The pick up person will receive the security code when a photo ID is shown at the registration desk.
4. Children will be in preschool or elementary groups. There will be about 5-8 kids in a crew.
5. All children will have their picture taken for security and craft purposes.
Home Church*
Hope Community ChurchNoneOther
Today's Date*
MonthDayYear
Date
Parent Information
or Guardian
1. Parent- First & Last name*
Parent's Birthday*
MonthDayYear
Date
Street Address*
Phone Number*
Email*
2. Spouse/Other Guardian - First & Last name
Spouse/Other Guardian's Birthday
MonthDayYear
Date
Street Address if different than above
Phone Number
Email
Emergency Contact
Who would you like us to contact first? Add name & number for other option.*
1. Parent2. Spouse/Other GuardianOther

Child 9 Information
Child's First name*
Child's Last name*
Gender*
MaleFemale
Birth date*
MonthDayYear
Date
Age as of June 14th*
School Name*
Grade in the fall*
Dietary restrictions*
DairyWheat/GlutenNutsNoneOther
Promotion photos (This is not the same thing as the picture for the craft)*
I do give Hope Community Church permission to use promotional photos or videos of my child.I do NOT give Hope Community Church permission to use promotional photos or videos of my child.
Friend Request
We will do you best to place you with your first choice but will place your child with at least one person of their choice. List 3 friends (first & last names) that your child would like to be with.
1st Choice
2nd Choice
3rd Choice
Special Needs/Notes

Thank you so much for entrusting your child(ren) to us. We take this priviledge seriously and will do our very best to bring them closer to Jesus.

Please Click SUBMIT to send your form. You will receive an email confirmation. If you do not please call Dawn Sanford 316-214-1640 for assistence between 8am and 9pm.
Should be Empty:

Emergency Contact