EAST 40 VBS REGISTRATION 2019

We cannot wait for VBS 2019: Power Up! at East 40 Church! We have lots of fun, games, music, and engaging teachings ready for your kid about the power inside of us! VBS runs from Sunday, July 7th through Thursday, July 11th beginning at 6:00pm each night.

East 40 Church of Christ is located at 7522 East Pike, Norwich, OH.

Please note that all students are placed based on their grade for the 2019-2020 school year. Programming is for toddler through 5th grades for the next school year. There is no programming for junior high or high school students.

Please make sure to register each student you are bringing to VBS before you submit the registration. If you are registering more than 5 kids, or happen to forget to register one, do not worry! You can just click the link and submit a new registration (you will not need to register previously registered kids).

We cannot wait to see you at VBS!

Parent/Guardian Name

Parent/Guardian Email

This address will receive a confirmation email

Contact Phone Number

Parent/Guardian Address

Child #1

Child's Name

Child's Gender

Male Female

Child's Birthdate

If in school, what grade will your child be attending during the 2019-2020 school year? Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

If applicable, what school will your child attend in the 2019-2020 school year?

Please list any allergies, dietary restrictions, or other medical conditions your child has.

If your child is attending as an invitee of another student, or wishes to be placed with another student in the same age group, please type that student's name below

Child #2

Child's Name

Child's Gender Male Female

Child's Birthdate

If in school, what grade will your child be attending during the 2019-2020 school year? Kindergarten 1st Grad 2nd Grade 3rd Grade 4th Grade 5th Grade

If applicable, what school will your child attend in the 2019-2020 school year?

Please list any allergies, dietary restrictions, or other medical conditions your child has.

If your child is attending as an invitee of another student, or wishes to be placed with another student in the same age group, please type that student's name below

Child #3

Child's Name

Child's Gender Male Female

Child's Birthdate

If in school, what grade will your child be attending during the 2019-2020 school year? Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

If applicable, what school will your child attend in the 2019-2020 school year?

Please list any allergies, dietary restrictions, or other medical conditions your child has.

If your child is attending as an invitee of another student, or wishes to be placed with another student in the same age group, please type that student's name below

Child #4

Child's Name

Child's Gender Male Female

Child's Birthdate

If in school, what grade will your child be attending during the 2019-2020 school year? Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

If applicable, what school will your child attend in the 2019-2020 school year?

Please list any allergies, dietary restrictions, or other medical conditions your child has.

If your child is attending as an invitee of another student, or wishes to be placed with another student in the same age group, please type that student's name below

Child #5

Child's Name

Child's Gender Male Female

Child's Birthdate

If in school, what grade will your child be attending during the 2019-2020 school year? Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

If applicable, what school will your child attend in the 2019-2020 school year?

Please list any allergies, dietary restrictions, or other medical conditions your child has.

If your child is attending as an invitee of another student, or wishes to be placed with another student in the same age group, please type that student's name below

EAST 40 VBS REGISTRATION 2019

Description

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