2018 VBS Shipwrecked Registration Form

July 8-12, 2018 6:00-8:30 p.m. | Please fill out this form and click submit.
 
CHILD INFORMATION (Age 4 to 5th Grade)

 
 
 
 
Please select one option.
Please select one option.
If your child has allergies or special health concerns please list below. If this does not apply, please type NONE.
 
 
PARENT/GUARDIAN INFORMATION

 
 
 
 
 
 
 
 
 
 
 
 
EMERGENCY CONTACT INFORMATION

 
 
 
 
 
 
 
CONSENT

 
 
Please select all that apply.
 
 
 
 
 
PHOTOS/VIDEOS CONSENT

Please select all that apply.
CORNERSTONE ADDITIONAL INFORMATION

Please select all that apply.
Please select all that apply.
 
Please select one option.
Please select all that apply.
COMMENTS

 
VBS T-SHIRT ORDER AND PAYMENT

T-SHIRTS: If you would like to order your child(ren) a 2018 VBS Shipwrecked t-shirt please indicate the size and quantity and pay online below. T-shirts will be available for pick up at the registration desk on July 8th. We will also have T-shirts available for purchase the week of VBS at the registration desk in limited quantity.
 
 
 
 
 
 

Description

July 8-12, 2018 6:00-8:30 p.m.
Please fill out this form and click submit.