• VBS Registration

    June 24 - 28, 2013 at Cole Community Church
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  • *NOTE* The website we use for forms currently has a glitch and will not show the proper amount of fields for Multiple Children's Names.  If you would like to register multiple kids at once, fill out the remaining names in the box below by typing in the Name, Gender, Date of Birth, and Age Group/Grade Level they just completed for the 2012-2013 School year.

  • Snacks are provided each day, please obtain a menu and/or provide your own snack if food allergy is severe. Please list any allergies, medical concerns or special needs during VBS hours.

  • Medical Release Statement:

    In case of a medical emergency, I understand every reasonable effort will be made to contact me.  In the event that I cannot be reached through reasonable efforts, I hereby give my permission to the physician selected by the VBS Director to secure proper medical treatment including hospitalization.  I understand that my personal insurance carrier will be the primary insurer and that Cole Community Church will be the secondary coverage.  As the parent/guardian, I further agree that I will not hold Cole Community Church, nor any ministry volunteers or employees, responsible for any accident or injury.

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  • To help offset costs, there is a $5.00 suggested donation per child with a $15.00 maximum charge. No one will be excluded if unable to donate.

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