VBS Registration Form

First Presbyterian Church VBS Registration

(VBS for children ages 4-entering 6th grade-------one form per child must be completed)

Effective for Vacation Bible School August 1, 2016, Time   2:00-5:00 p.m.

Theme:  A Day in the Life of Jesus

Registration deadline:  Monday, July 25, 2016

NOTE TO PARENTS:  There will be a family cookout at 5 p.m. on August 1st at the close of VBS


Child’s name___________________________________

Gender___________ Last grade completed______________


Name of Parent /Guardian:__________________________________________



Mailing Address:___________________________________________________


City:_____________________State:______   Zip:___________



Primary Phone #:_____________________

Cell  phone #:____________________

Home church_________________


Assigned VBS group (church use only)



Please explain any allergies, dietary and/or medical concerns for your child in the space below:






Functions and activities: I authorizer my child to participate in all Vacation Bible School activities.    INITIAL HERE_________


Publicity:  I authorize First Presbyterian Church to take pictures of my child during Vacation Bible School activities.  I also authorize the use of said pictures for the purpose of newsletters, church websites and for other promotional/informational usage.     INITIAL HERE_________


Medical Custody Release:  I authorize the VBS Leadership of First Presbyterian Church to seek and authorize Medical attention in the event my child needs medical care for Emergency or Normative reasons.  I understand a first call will be made to the parents/guardians, however, if contact cannot me made on first call, assistance will be authorized by the Church VBS leaders.    INITIAL HERE_________


Release of Liability:  By signing this form I understand there are risks associated with all activities including VBS activities.  I agree not to hold First Presbyterian Church or any of their VBS leadership or other agents liable for any harm that may accidentally occur through the normal course of Vacation Bible School.  I understand the VBS leadership will make every reasonable attempt to provide a safe and caring environment for my child.   INITIAL HERE_________


Other Emergency Contact:





Primary phone #: ___________________________

Alternate Number #__________________________



Name of individual responsible for dropping child off at VBS: ____________________________________________


Name of individual responsible for picking child up at VBS: ______________________________________________


Final Approval:  I as the parent/guardian agree to the above:



Print Name_______________________________________

Posted on July 15, 2016 .

One Day Vacation Bible School

AUGUST 1st from 2:00 p.m. - 5:00 p.m.

Family cookout directly following VBS at 5 p.m.

Kids from age 4 through 6th grade this fall.

Children will experience music as well as sessions on pottery,

food and market life, and weaving.


 “A Day in the Life of Jesus”


Pre-register required by Monday, July 25.

Pick up a registration form from the Mission table at church

or call the church office (385-2242).  Bring a friend!


Posted on July 1, 2016 .

Summer Worship Hours

Beginning on Sunday, June 5th - our worship service will start at 10:00 a.m.  The Adult Sunday School class will begin at 9 a.m.  We will return to 10:30 a.m. on Sunday, September 4th.


Posted on May 12, 2016 .