We are excited to have you on board as we visit The Surf Shack! Stories, Science, Crafts Music, Snack and Play. It promises to be a great time for all. Ages 2-10.

Monday through Wednesday, we begin at 9am. Thursday we will meet 5:30-8:00pm and your whole family is invited. Dinner will be served. We are looking forward to seeing you July 17!

Register for Vacation Bible School   

First Name: Last Name: Age: Grade: Gender:
Address:
City: State: ZIP: Email:

Parents:
Parent Phone Numbers (List in the order you want us to contact you.):
Phone #1: Phone #2: Phone #3: Phone #4:

Others who can pick up your child:
Emergency Contact:
Relationship to child: Emergency Contact Phone:
Address:

Insurance: Carrier: Policy or Group:
Are there any conditions, diseases or allergies we should be aware of? If yes, please explain:
Is there any other health related information we should know about or activity restrictions we should provide during the week?
Will your child need to take a medication while at VBS? If yes, please provide details:

My child plans to attend: