VBS Registration

June 26–29, 2023
6:30 – 8:30 pm
VBS is for 5 year olds and kids entering 5th grade in the fall
Contact Pastor Lisa Glunt for more information - pastorlisa@sixpointschurch.com or 317-370-4794

VBS Registration

* Indicates required field

Child's Name *

First

Last

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Date of Birth *

Age *

Last School Grade Completed *

Home Church *

Friends of your child at this church *

Special Needs / Allergies / Medical Information / Other *

First Emergency Contact Name *

First

Last

First Emergency Contact Phone Number *

Second Emergency Contact Name *

First

Last

Second Emergency Contact Phone Number *

Name(s) of person(s) who may pick up this child from VBS *

Photo Release *

Six Points Church has my permission to use my child's photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use.

Digital Signature *

First

Last

Submit