VALLEY BAPTIST CHURCH 2017 VACATION BIBLE SCHOOL REGISTRATION FORM Monday, July 10th – Friday, July 14th 9:00AM to 3:00PM For kids entering Kindergarten through kids entering the 6th grade.

Cost: $70 for the first child, $60 for each additional child Child’s Name: _________________________________________________________________ Address: _____________________________________________________________________ City: __________________________________ State: _______________ Zip: _____________ Home Phone:__________________________________________________________________ Child’s Age: ______ Child’s Date of Birth: ________ Grade Child Enters in the Fall: ________ Parent #1’s Name: _____________________________ Parent #1’s Cell: __________________ Parent #2’s Name: _____________________________ Parent #2’s Cell: __________________ Email: _______________________________________________________________________ In case of emergency, please call: Name: _______________ ____________ Phone: _________ If possible, please group my child with this friend_____________________________________ **Note: Groups are typically done based on grade the child is entering in the fall. We will consider groupings with friends but can not guarantee them. Any Allergies, Special Needs, Medications, Disabilities? ___ YES

____ NO

If “YES” please specify: __________________________________________________________ Who will pick up the child? Name/Relationship: ______________________________________ Does your family regularly attend a church? ____ YES

____ NO

If “YES” what is the name of the church? ____________________________________________

What size T-Shirt does your child wear? Youth Sizes: Ex-Small (2-4) ___ Adult Sizes: Small ___

Small (6-8) ___

Medium ___

Large ___

Medium (10-12) ___ Large (14-16) ___ X-Large ___

XX-Large ___

NOTE: If you are registering after June 30th your t-shirt size cannot be guaranteed. We will make every effort to provide a t-shirt for every child, but the size may have to change to accommodate all children. NO REFUNDS will be given if withdrawn from the camp after June 30th.

AUDITIONS AND PERFORMANCE INFORMATION: Auditions for speaking/dramatic roles will be held prior to the beginning of camp for those who would like to try out. My child will attend an audition on: ____ Wednesday, June 7 (6:00pm to 7:30pm) 11:30am)

or

____ Saturday, June 10 (10am to

Because the children work so hard to prepare a musical for you, we will be holding two performances. We encourage all who participate in camp to plan to attend both performances. We also encourage your child to be available for both performances if they are auditioning for a lead role in the drama. My child will attend the following performances: ____ Friday, July 14th (7:00 pm)

____ Sunday, July 176h (9:30 am)

____Both Performances

By signing this form you agree to follow the guidelines set forth by the VBS staff of Valley Baptist Church. You also release Valley, VBS staff, and any used contractors from liability regarding any risks taken by your child’s full participation in camp activities including water slides and moon bounce participation. Signature of Parent/Guardian: ____________________________________________________ I am interested in helping with VBS ________ Contact number: ________________________ Please bring completed forms to the Valley Baptist Church Office at 1401 York Road, Lutherville, MD 21093 Feel free to call the church office with any questions: 410-321-6257 FOR OFFICE USE ONLY: Date Paid: _____________________________ Check No. _______________ Cash: _________ CD Received: _________