VBS 2019 Preschool Registration

CPC VBS Preschool registration

Please (1) make payment and (2) register each child attending.

* Required items

Registration Payments*

Individual Child Registration

$10.00

Pay

Family Registration (4 or more from the same family)

$30.00

Pay

Donation to CPC VBS

$10.00

Pay

2019 CPC VBS preschool age Registration*

Parent's/guardians INFORMATION

* Indicates required field

Parent/Guardian Name *

First

Last

Email *

Emergency Contact Phone #1 *

Emergency Contact Phone #2 *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you need financial sponsorship? *

Yes No

Are you able to volunteer for VBS? *

Yes No

Church we attend most... *

Comments *

preschool age Children's information

Child #1 - Name *

First

Last

Age as of 6.17.2019 *

Birth-date (00/00/0000) *

Does Child #1 have any allergies or medical conditions? *

Child #1 T-Shirt Size *

Child #1 would like to be placed in a group with... *

First

Last

Child #2 - Name *

First

Last

Age as of 6.17.2019 *

Birth-date (00/00/0000) *

Does Child #2 have any allergies or medical conditions? *

Child #2 T-Shirt Size *

Child #2 would like to be placed in a group with... *

First

Last

Photo release...

My name here gives permission to Central Presbyterian Church to use my child/children's picture(s) in the web site, promo video, brochures, social media, etc. *

First

Last

Clicking below means that I do not want my child/children's picture(s) to be used in the web site, promo video, brochures, social media, etc. *

I do not want my child's photos to be published.

Submit

CPC VBS Preschool registration

Registration Payments*

Individual Child Registration

Family Registration (4 or more from the same family)

Donation to CPC VBS

2019 CPC VBS preschool age Registration​*

Parent's/guardians INFORMATION

preschool age Children's information

Photo release...

2019 CPC VBS preschool age Registration*