The Creator's Workshop VBS

Saturday, June 27th (10am - 1pm)

How many kids are you signing up for VBS?

#1 - Child's first name

#1 - Child's last name

#1 - Child's date of birth & last grade completed

#2 - Child's first name

#2 - Child's last name

#2 - Child's date of birth & last grade completed

#3 - Child's first name

#3 - Child's last name

#3 - Child's date of birth & last grade completed

#4 - Child's first name

#4 - Child's last name

#4 - Child's date of birth & last grade completed

#5 - Child's first name

#5 - Child's last name

#5 - Child's date of birth & last grade completed

Parent / Guardian's name

Address

Parent / Guardian's Phone

In case of emergency, contact (name and phone number)

Emergency contact relationship to child

Allergies or other medical conditions (INCLUDE ALL CHILDREN & SPECIFY WHO HAS WHAT ALLERGIES)

My child(ren) may be photographed, videotaped, or recorded during activities and events for the NBBC's 2026 VBS. These may be used for such reasons as public relations, pictures for bulletin boards, Xenia print media, and NBBC's website & Facebook.

Yes

Please sign below to confirm YES or NO to child being photographed, videotaped, or otherwise recorded during activities answer.

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JOIN US FOR OUR SUNDAY SERVICE @ 11AM

The Creator's Workshop VBS

Saturday, June 27th (10am - 1pm)