1. family and parenting
2. children

Maranatha CRC Vacation Bible School 2015 Registration Form
Date: Mon thru Fri – July 6-10,
Celebration Sunday – July 12
Time: 9 am until 11:45 am
Ages: SK to Grade 5
Cost: $5 per child or $20 per family
Location: 735 Frontenac Cres,
Woodstock, N4V 0B1
Contact Information:
Parent/Guardian Name: ___________________________________________________
Phone #: ___________________________Cell phone: __________________________
Address: _______________________________________________________________
_______________________________________________________________
Email: _______________________________________________________
Emergency Contact: _____________________________Phone #: _________________
Child #1:
Name: ____________________________________ Grade as of Sept __________
Allergies/Health Concerns ____________________________________________
Health Card Number: _______________________________
Name of a friend your child would like to be with: _________________________
Child #2:
Name: ____________________________________ Grade as of Sept __________
Allergies/Health Concerns ____________________________________________
Health Card Number: _______________________________
Name of a friend your child would like to be with: _________________________
Child #3:
Name: ____________________________________ Grade as of Sept __________
Allergies/Health Concerns ____________________________________________
Health Card Number: _______________________________
Name of a friend your child would like to be with: _________________________
(NEXT PAGE)
SAFETY:
 all children must wear running shoes during VBS, no sandals, crocs or flip flops.
 all children must be signed in and out each day by a parent or guardian
 Please list those who have your permission to pick up your child at the end of
VBS :______________________________________________________________
FREE LUNCH: On Friday July 10, we would like to invite you and your family to join us for a light
lunch. This is a great opportunity to meet other VBS families and for us to get to know you
better.
VBS CELEBRATION SUNDAY: Please join us on Sunday, July 12 at 10am for our VBS Sunday
service. Your children would love to have the opportunity to share what they learned and
experienced during the week with the rest of their family. We ask that your child wear their
VBS shirt and bandura . Please arrive at the church by 9:45 – we will meet in the gym. This is a
highlight of the week. Don’t miss it!
CONSENT FORMS:
In case of an emergency, do we have your permission to consent to emergency medical
treatment for your child(ren)? All attempts will be made to contact you or the emergency
contact. YES NO
We like to take pictures during the week and use them for a PowerPoint presentation on VBS
Sunday and on our VBS board and website. Do we have permission to photograph your
child(ren) and use the pictures for the purpose of promotion? YES NO
_____________________________________
Signature for consent
______________________
date
Name of your home church if you have one: ______________________________
How did you hear about our VBS program?: _______________________________
SPACE IS LIMITED SO REGISTER EARLY!
Please return your registration form and payment to Maranatha CRC by JUNE 20, 2015
Need to know more? Feel free to contact the church at 519-539-5301
or the coordinators: Joanne Dreise – 519-539-8380 Heather De Boer 519-842-9284