SALEM FIRST
Connect
CONNECTION GROUPS
ADULT
WORSHIP ARTS
VIDA SALEM
CELEBRATE RECOVERY
KIDS/YOUTH
SPORTS MINISTRIES
RIGHTNOW MEDIA
SERVE
MISSIONS
ABOUT US
Mission Statement
CONTACT
HOURS
STAFF
SERMON VIDEOS
PROGRAM
NAZARENE BELIEFS
GIVE
Connect
/
CONNECTION GROUPS
ADULT
WORSHIP ARTS
VIDA SALEM
CELEBRATE RECOVERY
KIDS/YOUTH
SPORTS MINISTRIES
RIGHTNOW MEDIA
SERVE
/
MISSIONS
ABOUT US
/
Mission Statement
CONTACT
HOURS
STAFF
SERMON VIDEOS
PROGRAM
NAZARENE BELIEFS
GIVE
/
VBS Registration Form 2018
Connect
/
CONNECTION GROUPS
ADULT
WORSHIP ARTS
VIDA SALEM
CELEBRATE RECOVERY
KIDS/YOUTH
SPORTS MINISTRIES
RIGHTNOW MEDIA
SERVE
/
MISSIONS
ABOUT US
/
Mission Statement
CONTACT
HOURS
STAFF
SERMON VIDEOS
PROGRAM
NAZARENE BELIEFS
GIVE
/
VBS REGISTRATION FORM 2018
June 25 -29 from 9:00 am - 12:15
Parent or Guardian Name
*
Parent or Guardian Name
First Name
Last Name
Phone Number
*
Email Address
*
Alternative Emergency Contact
Alternative Emergency Contact
First Name
Last Name
Phone Number
Family Doctor
Family Doctor
First Name
Last Name
Phone Number
Child's Name #1
Child's Name #1
First Name
Last Name
Grade This Fall
Date Of Birth
Male
Female
Allergies:
Child's Name #2
Child's Name #2
First Name
Last Name
Grade This Fall
Date Of Birth
Male
Female
Allergies
Child's Name #3
Child's Name #3
First Name
Last Name
Grade This Fall
Date Of Birth
Male
Female
Allergies
Child's Name #4
Child's Name #4
First Name
Last Name
Grade This Fall
Date Of Birth
Male
Female
Allergies
Media Consent:
Yes
No
Please Add Me To The Children's Mailing List
Yes
Music CD $7
Payment due upon pickup at VBS
1
2
3
4
Children's T-Shirts Cost: $5
Payment due upon pickup at VBS
Youth Small
0
1
2
3
4
Youth Medium
0
1
2
3
4
Youth Large
0
1
2
3
4
Adult Small
0
1
2
3
4
Iron-On's $2
Yes
No
Thank you! We are looking forward to seeing you this summer. Questions/Comments:
Thank you!
Connect
/
CONNECTION GROUPS
ADULT
WORSHIP ARTS
VIDA SALEM
CELEBRATE RECOVERY
KIDS/YOUTH
SPORTS MINISTRIES
RIGHTNOW MEDIA
SERVE
/
MISSIONS
ABOUT US
/
Mission Statement
CONTACT
HOURS
STAFF
SERMON VIDEOS
PROGRAM
NAZARENE BELIEFS
GIVE
/
SALEM FIRST