Vacation Bible School Sign Up

Parent's First name(s)

Parent's Last name

Parent's Phone

Parent's Email

Address

Child's Information

Child's First Name

Child's Last Name

Child's Date of Birth

Month

Day

Year

Child's Allergies

Are there any special needs we should know about?

Meals will be served at 6:00 PM for each child who is pre-registered. Select the days your child will eat with us. Note: We cannot make substitutions. If your child has food allergies, please provide their meal.

Sunday, June 8: Corndogs, Tater Tots and Fruit Cup

Monday, June 9: Pancakes, Sausage Patties and Banana

Tuesday, June 10: Macaroni and Cheese and Applesauce

Wednesday, June 11: Chicken Nuggets, French Fries and Vegetables

Thursday, June 12: Pizza and Chips

Is there another child your child would like to be in a group with? If yes, please type the name below.

I have another child to register

Final Details

Emergency Contact Name

Emergency Contact Phone

Name(s) of Other Adults Authorized for Pick Up

May we take photos of your child(ren) for use by New Covenant Church?

Yes

No

Does your family have a home church?

Yes! It's New Covenant!

Yes! It's somewhere else

No - But I would like to learn more about New Covenant

No