Event Registration

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Vacation Bible School (Child Registration) on Monday, July 6, 2020 @ 9:00 AM

50.00
Please make sure the Attendee Name above is the child who will attend and the contact information above (E-mail, Phone Number) is for the Parent. 

The registration cost is $50/child. Registration fees include one music CD per family, snacks and all VBS supplies. 

We desire to have every child attend VBS without concern for finances. If you need a scholarship, please do not complete the registration form now. Please first contact Paige Malkus at pmalkus@4thpres.org.  You will be contacted with further instructions regarding registration. 
*Sex:
*Date of Birth:
*Fall 2020 Grade:
*Parent Name & Phone Number (1):
Parent Name & Phone Number (2):
*Emergency Contact Name & Relationship to Child (in case a parent cannot be reached):
*Emergency Contact Phone Number:
We strive to provide nut-free snacks at VBS. Please list any allergies or life-threatening dietary restrictions. Please also list any details associated with your child's symptoms of an allergic reaction. (How will we know?) If no allergies, please enter "none":
*Food allergies/symptoms:
*EpiPen required?:
Please list any other medical concerns:
Do you grant permission for your child's photo to be used in Fourth Presbyterian publications (i.e., printed materials, website, and/or social media)? Children will not be identified by name in any photos:
*Photos:
*Child T-Shirt Size:
Children will be placed in groups according to age. If your child invited a friend or is attending with a friend, please indicate the friend's name. While we will make an effort to accommodate requests, we cannot guarantee specific placement for each child:
Name of friend: