2015 VBS Test Page

Date: June 15-19, 2015STI-Logo

Time: 9:00 a.m. – 12:00 p.m.

Location: Grace Bible Church, 398 Eggleston Avenue (@ Berkley), Elmhurst

FREE for all kids entering Kindergarten through 6th grade.

 

Please fill out the form below for each child. Fields marked with an asterisk are required. Press the Register button at the end to submit the completed registration. If you do not see a  successful submission message below the button afterwards, please check that all required fields above have been filled in properly, and re-submit.

    Please check this box to acknowledge that you are committed to having your child attend VBS all 5 days, and that each day they will be in attendance 9-12 noon*: Yes

    Please check this box to give us permission to photograph/video your child. We plan to incorporate these images into a highlight video for Family Night on Thursday and for future e-mails to current and prospective VBS families.  We will not sell or use photos or videos of your child for any other purpose*: Yes

    Child's Name*: Gender*:

    Age*: Entering Grade*:

    Parents' Names*:

    Address*:

    City & Zipcode*:

    Phone*: E-mail*:

    Church Home:

    Invited By:

    Friends to Share Table (choose from same department as your child: Entering Kindergarten, 1st, 2nd, 3rd & 4th, or 5th & 6th):

    Child will be Picked Up By*:

    Emergency Contact Name*:

    Emergency Contact Phone*:

    Please specify if your child has any allergies, special needs, or special learning styles:

    Comments:

    ©Grace Bible Church in Elmhurst Illinois