VBS Registration

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VBS Registration

Fill out and submit the form below to save a spot at our VBS this summer. If you have more than 3 children attending, fill out an additional form. For more information, go to our Frequently Asked Questions page.

* Required fields

Name *

E-mail Address *

Phone (incl. area code) *

Phone #2 (incl. area code) *

Address

City

State

Zip

Child #1 Name *

Child #1 Birthdate (must be before 8/1/2005) *

Medical Conditions or Allergies: *
Yes
No

If YES, please explain:

Child #2 Name

Child #2 Birthdate (must be before 8/1/2005)

Medical Conditions or Allergies:
Yes
No

If YES, please explain:

Child #3 Name

Child #3 Birthdate (must be before 8/1/2005)

Medical Conditions or Allergies:
Yes
No

If YES, please explain:

Additional Comments:

I would like to volunteer to help!
Evening prep sessions in July
Decorating
Daily setup
Supervising children on site
Storytelling
Crafts
Outdoor games
Whatever you need!
I'd love to, but my schedule doesn't permit it

We are members at (church name):

Church Affiliation:

I have read and agree to the Privacy Policy *

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1605 Vernon Avenue
Park Ridge, IL 60068
p 847.823.6984 f 847.823.6996

PastorLynne@messiahparkridge.org

Office@messiahparkridge.org