2022 ECC VBS Registration Form

Please fill out this form and click submit.

Register me for Zoomerang VBS!

Register me for Zoomerang VBS!

Sunday, July 10th - 14th (July 15th Family Night)

6 PM - 8:30 PM

(Registration starts at 5:45 PM)

Preschool (age 4/potty trained) thru 5th grade (just completed)

Name

*

Age:

*

Grade this Fall:

*

Address

*

Phone

*

Parent/Guardian Name(s):

*

Email

*

This address will receive a confirmation email

Emergency contact:

*

Emergency contact #:

*

A sibling or friend you want your child paired with? (Must be in same age group)

Special Needs or Allergies:

T-Shirt size (Register by 6/26/22 and possibly receive a T-shirt).

*

Please select all that apply.

Youth S Youth M Youth L Adult XS Adult S Adult M Adult L Adult XL Adult XXL

I give permission for my child to attend ECC VBS. Please type in signature.

*

I give permission for ECC to use my child's picture in VBS and children's ministry promotions:

*

Please select all that apply.

I agree I disagree

Description

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