VBS Registration

Please fill out this form to register your child for WCC Kids' VBS. You MUST complete the PayPal payment or you child will not be registered. You do not have to have a PayPal account - you can use a debit/credit card as a guest. VBS is from 9:00-12:00 everyday from June 24 to June 28.

WCC KIDS' VBS Registration

Parent Name * Parent Name Street Address City Zip Phone - 1 Phone - 2 Email Family church (if applicable) I am interested in helping I'm not interested in helpingProvide snacksA couple of daysEvery day

Child

Name (First/Middle/Last)

Gender

Male Female

Birth Date (mm/dd/yy)

Grade entering in the fall * Select an option:Going into 1stGoing into 2ndGoing into 3rdGoing into 4thGoing into 5th School Shirt Size * Select an option:Youth x-smallYouth smallYouth mediumYouth largeAdult smallAdult mediumAdult largeAdult x-largeAdult 2xlAdult 3xlAdult 4xlAdult 5xlAdult 6xl

Emergency Contact

Name * Phone * Relationship *

Medical Information

Does any above child have any allergies, medicines, or special needs? *

Yes No

Child Name Please explain Doctor's Name Phone

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I have read and agree to the Terms and Conditions stated above *

Date: Tuesday, 30 April 2024 (EDT)

Name:

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Fees *

1 child ($25 USD)

The $25 covers a t-shirt for your child as well as each daily craft and snack.

To complete registration, continue to payment.
Your child(ren) will not be registered until payment process is complete.
You do not have to have a PayPal account. You can use a debit/credit card and checkout as a guest.

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