Vacation Bible School 2018

July 22-26, 2018
6 – 8:15pm
at: Decatur Church of God
1129 Mercer Ave. • Decatur

Why would your kids love BLAST VBS?

  • New friends
  • Amazing experiments
  • Creative games
  • Lip-smacking snacks
  • Surprising adventures
  • Incredible music

Who should come? • Age 3 yrs. thru kids entering 5th Grade (Fall 2018)


REGISTER HERE


PARENT INFORMATION
Parent/Guardian Name (required)

Will parent(s) be helping with BLAST VBS? YesNo
      If so, which area?
Email address (required)
Primary Phone    This is:
Secondary Phone This is:
Street Address (required)
City (required) State
Zip
Home Church (required)

EMERGENCY CONTACTS
Name (required)
     Phone (required)
Name (required)
     Phone (required)

DISMISSAL
Name(s) of person(s) who may pick up these children from VBS:


STUDENT INFORMATION
Child 1 Information
Name (required)
Date of Birth (required) Age
Grade entering (required)
Allergies or other medical conditions:


Child 2 Information
Name
Date of Birth Age
Grade entering
Allergies or other medical conditions:


Child 3 Information
Name
Date of Birth Age
Grade entering
Allergies or other medical conditions:


TREATMENT PERMISSION
In case of an illness, if you cannot be reached, do you give permission for your child to receive the following treatments at the discretion of an adult VBS staff persion?
(Parent will be informed of any treatments given.)

Neosporin (small cuts & scrapes) Benadryl cream (insect bites & stings)
Children's Tylenol (headaches) - child dosage

YesNo