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Treasured - Discovering You're Priceless to God
2021 VBS @ POFW
July 14-16 @ 7:00 PM,
Sunday July 18 @ 10 am.
Child's Name
First
Last
Last grade completed
Age
Child's Gender
Male
Female
Birthdate
MM
/
DD
/
YYYY
VBS Shirts will be sold for $10 each. If you would like to reserve one for your child, please mark size needed.
*
Please select
None
Child - Small
Child - Medium
Child - Large
Child X-large
Other
List Shirt size needed for your child if not listed above
Parents Name
Cell Phone
###
-
###
-
####
Address
City
Zip Code
Emergency Contact Phone #
###
-
###
-
####
Emergency Contact:
Relationship to Child
Allergy require an Epi Pen
No
Yes
List any Allergies or Medical Conditions
Email
Safe Zone Registration - All staff working with VBS have been background checked for the protection of all children. If you wish to "travel" with your child from room to room Thursday - Friday nights and Saturday Block Party, you will need to complete a background check. Background Checks are $35 per adult. Please call the office, 817-560-3433 to provide your birthdate, SSN and CC# to complete background check.
Background checks must be completed within 3 days of the start of VBS. Is it your desire to complete a certified background check and travel with your child?
There are only 5 spaces available. First paid, First served.
Yes
No
By registering my child(ren), I understand that photos will be taken at this event and the child's image may be used for POFW printed and online promotions. If you wish to opt out of having your child's image used, you must contact the POFW Office.
*
You have my permission
I will call the office
