Preschool Registration - Breaker Rock Beach VBS 2024

Child Information

Name

Birthdate

Gender

Please select your child's current grade level for the 2023-2024 school year. Thank you!

Grade

T-Shirt Size

Youth XS Youth S Youth M Youth L Youth XL

Health Concerns (physical limitations, medications, etc.)

Allergies (please indicate "none" if applicable)

VBS Music

This year, we are excited to share that Lifeway, our VBS curriculum company, provided our VBS Playlist on both Spotify and Amazon Music, so there is no additional cost for your family to enjoy the VBS tunes if you are a subscriber to either of those streaming services! We will still offer CDs for those interested at a cost of $5/CD (please select the "1 Child + CD" option when making your payment). Please select your preference below.

Music Preference

VBS Communication

Please provide the cell phone number, email address, and physical address of the parent/guardian who will be receiving information/updates on VBS.

Phone

This address will receive a confirmation email

Address

Emergency Contact Information

Please complete the section below with contact information of the parent/guardian you'd like listed as your child's emergency contact in case of emergency during VBS week.

Emergency Contact Name

Emergency Contact Phone

Relationship to Child

Second Parent/Guardian Contact Information

If there is a second parent/guardian you'd like listed as emergency contact, please complete the information below.

2nd Parent/Guardian Name

2nd Parent/Guardian Phone

Relationship to Child

Photography Permissions

Photos are taken throughout the week of VBS by a Media Volunteer. Please designate below whether or not you give permission for photos your child may be in to be used on Hope Church/Hope Kids social media accounts, website or promotional materials.

Photography Permissions

No, please do not post photos of my child on social media, the website or any promotional materials. Yes, I give permission for photos my child may be in to be posted on social media, the church's website and promotional materials.

Waiver

As the parent/guardian of the above listed child, I understand that they are attending Hope Kids VBS with trained volunteers of Hope Church. I hereby waive any liability of injury or illness from Hope Church or the individual volunteers. By electronically signing my name below, I am stating that I am in agreement with this statement.

Parent/Guardian Signature

Payment

VBS Registration Fee

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

June 10-14, 2024; 8:30AM-11:45AM

We cannot wait to dig into God's rock solid truth at this year's Vacation Bible School! We pray that your child will feel the love of Jesus shining through every part of the VBS experience and leave our program better equipped to stand on God's Truth as they go out into the world!

This specific registration form is for PRESCHOOL STUDENTS (any child age 4+ that has not yet attended Kindergarten)
What: Hope Kids VBS 2024
Where: Hope Church - 919 Grand Ave, Spencer, IA
When: June 10-14, 2024 from 8:30AM-11:45AM

Preschool Registration - Breaker Rock Beach VBS 2024

Description

Please Fix the Following