Vacation Bible School 2023Stellar - Shine Jesus’ LightVacation Bible School is June 25-29, 6-8 PM Child's Name * First Name Last Name Parent/Guardian Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Home Phone * (###) ### #### Cell Phone * (###) ### #### Email * Child's Age * Preschool Class (Age) Last School Grade Completed Home Congregation (if any) In case of emergency (when parent/guardian cannot be reached) please contact: Name * First Name Last Name Phone * (###) ### #### Relationship to Child * One friend they would like (same age) in their class Please list any allergies (including food allergies) the VBS staff should be aware of: Person responsible for picking up this child at the end of each VBS day: Name * First Name Last Name Phone * (###) ### #### Signature of Parent/Guardian Thank you!