2024 VBS Registration

The Great Jungle Journey VBS June 16-20, 2024 | Please fill out this form and click submit.

If you are registering more than 4 children, please submit a second form.

Calvary Monument Bible Church
1660 Mine Road
Paradise, PA 17562
717-442-8161
cmbc@calvarymonument.org

Contact Information

Parent Name

Address

This address will receive a confirmation email

Phone

Emergency Contact Name

Emergency Contact Phone

The following people may pick up my child(ren):

How did you hear about VBS?

Children's Information

Child's Name(1)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Child's Name(2)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Child's Name(3)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Child's Name(4)

Grade Completed/Preschooler Age

Please select one option.

3-year-old 4-year-old 5-year-old(Pre-K) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Friend to be grouped with

Special Needs, Allergies, Other Notes

Photo Consent

I understand that any images captured at this event may be used on print and online publications or social media.

Description

The Great Jungle Journey VBS June 16-20, 2024

Please fill out this form and click submit.

If you are registering more than 4 children, please submit a second form.

Calvary Monument Bible Church
1660 Mine Road
Paradise, PA 17562
717-442-8161
cmbc@calvarymonument.org

2024 VBS Registration

Description

Please Fix the Following