VBS - Maker Fun Factory - Centerpoint Church

FOR KIDS IN KINDERGARTEN THROUGH 5TH GRADES!

JUNE 22ND – 26TH

6:30-8:30pm

We are so excited about this year’s VBS! Please take a minute to complete the form below to get signed up!

Parent / Guardian Name *

First

Last

Parent / Guardian Phone *

Parent / Guardian Email *

Number of Children Attending *

Please complete registration fields for each child.

Child #1 Full Name (First, Middle, Last) *

Child #1 Age and DOB *

Child #1 Info – Medical / Informational Notes

Please note any allergies that your child may have as well as any special information that you’d like to share.

Child #2 Full Name (First, Middle, Last)

Child #2 Age and DOB

Child #2 Info – Medical / Informational Notes

Please note any allergies that your child may have as well as any special information that you’d like to share.

Child #3 Full Name (First, Middle, Last)

Child #3 Age and DOB

Child #3 Info – Medical / Informational Notes

Please note any allergies that your child may have as well as any special information that you’d like to share.

Child #4 Age and DOB

Child #4 Info – Medical / Informational Notes

Please note any allergies that your child may have as well as any special information that you’d like to share.

Child #5 Age and DOB

Child #5 Info – Medical / Informational Notes

Please note any allergies that your child may have as well as any special information that you’d like to share.

Questions / Comments?