Vacation Bible School 2017
 
Vacation Bible School 2017
Choose the grade your child will be entering in the Fall  * 
Week 1 - June 19-23 (Deadline to register 6/8)
Week 2 - July 10-14 (Deadline to register 6/29)
Choose your preferred week of attendance
Child’s Name  * 
Age requirements: Pre-K (4 years old by Sept. 1) through 6th Grade (2017/2018 school year)
Child’s Age  * 
Child’s Gender  * 
Youth T-Shirt Size  * 
Child’s Doctor  * 
Doctor’s Phone  * 
Health Insurance Info  * 
Allergies/Medical Info
Parent’s Name(s)  * 
Street Address  * 
City  * 
ZIP Code  * 
Home Phone  * 
Work/Cell Phone
Your Email Address  * 
Emergency Contact  * 
Emergency Contact’s Phone  * 
Do you attend Calvary Chapel?  * 
Comments
I GIVE CALVARY CHAPEL CHICO PERSONAL PERMISSION TO USE MY CHILD’S PICTURE FOR IN-HOUSE PROMOTION  * 
I GIVE CALVARY CHAPEL CHICO PERSONAL PERMISSION TO ONLY RELEASE MY CHILD TO AUTHORIZED INDIVIDUALS WHO WILL SHOW I.D. AT SIGN OUT  * 
I GIVE CALVARY CHAPEL CHICO PERSONAL PERMISSION TO SEEK MEDICAL CARE FOR MY CHILD IN THE EVENT THAT I CANNOT BE REACHED  * 
Total $
 
 
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