Vacation Bible School

VBS Online registration

Vacation Bible School will be held June 27^th – 30^th from 9:00 to 3:00 and will be led by Pathways staff once again.

Grades are based on the 2022-2023 school year.

VBS for grades k-6th grade day camp is $60 per child with a family cap of $125.

Pre-K VBS for kids 3-5 years old. 9:00 – 11:30 AM cost is $35 per child.

Please return the Pathways health form and release as well!

We will be attending:*

The number of kids attending Pre-K:*

The number of kids attending Day camp:*

Parents Name/s*

Address*

Street Address City State / Province / Region Postal / Zip Code

Home phone *

Cell phone

Primary Email*

Secondary Email

Emergency Contact (Other than parent/guardian)

First

Last

Emergency Contact Phone Number

Pre-K child(ren) information:

Pre-K Child #1 Name

First

Last

Pre-K child 1 birth date

Pre-K child #1 age:

Pre-k Child #1 Special Concerns / Allergies

Pre-K Child #2 Name

First

Last

Pre-K child 2 birth date

Pre-K child #2 age:

Pre-k Child #2 Special Concerns / Allergies

Pre-K Child #3 Name

First

Last

Pre-K child 3 birth date

Pre-K child #3 age:

Pre-k Child #3 Special Concerns / Allergies

Pre-K Child #4 Name

First

Last

Pre-K child 4 birth date

Pre-K child #4 age:

Pre-k Child #4 Special Concerns / Allergies

Pre-K Child #5 Name

First

Last

Pre-K child 5 birth date

Pre-K child #5 age:

Pre-k Child #5 Special Concerns / Allergies

Day Camp child(ren) information:

Child #1 Name

First

Last

Child 1 birth date:

Child #1 Grade

Child #1 Special Concerns / Allergies*

Child #2 Name

First

Last

Child 2 birth date:

Child #2 Grade

Child #2 Special Concerns / Allergies

Child #3 Name

First

Last

Child 3 birth date:

Child #3 Grade

Child #3 Special Concerns / Allergies

Child #4 Name

First

Last

Child 4 birth date:

Child #4 Grade

Child #4 Special Concerns / Allergies

Child #5 Name

First

Last

Child 5 birth date:

Child #5 Grade

Child #5 Special Concerns / Allergies

Total

* If your total exceeds the 2022 family cap of $125.00, then please do not submit your form online, instead stop by the church and fill out the paper form and make your payment via check/cash.Thank you.

Payment Information: