Vacation Bible School Registration

Join for the 2015 Vacation Bible School at Church of the Good Shepherd. This year's theme is "Hometown Nazareth — Where Jesus was a Kid!"

Vacation Bible School runs from Monday, July 6, through Friday, July 10, starting with supper at 6:00 PM. The program runs from 6:30 pm — 8:30pm.

Child's Name

First Name

Last Name

Child's Birthdate

MM

DD

YYYY

Parent/Guardian Information

Parent/Guardian Name

First Name

Last Name

Contact Number

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

Please list one additional person as an emergency contact.

Emergency Contact Name

First Name

Last Name

Emergency Contact Relationship

Emergency Contact Phone

(###)

###

####

Additional Information

Conflicts or Attendance Notes

Please list any nights you know you will not be available during Vacation Bible School.

Allergies and Special Needs

Does your child have any allergies or special needs we need to be aware of?

Social Media Permission

May we include your child in any social media promotion of Vacation Bible School?

Yes

No

Church of the Good Shepherd