Vacation Bible School | Glory Church Pike County

Magnified Vacation Bible School time and dates

Child Registration Form for VBS at Glory Church

July 14th and 15th | 6:00 pm - 8:30 pm | 231 Redale Road

We're so excited for you to join us at Glory Church's Vacation Bible School! It will be two great days packed with fun, safe, and age-appropriate activities for your child, all centered on learning how God's glory is magnified in all things! Dinner is provided, and participation is free. Please note that your child must be at least 4 years old to participate.

Filling out this form will help us prepare to serve you and your family well. Questions? Reach out to Pastor Lucas at glorychurchpike@gmail.com.

Parent/Guardian's First Name

Parent/Guardian's Last Name

Mailing Address

Phone

Can we text you on this number?

Yes

Child's First and Last Name

Child's Date of Birth required

Child 2 - First and Last Name

Child 2 - Date of Birth

Child 3 - First and Last Name

Child 3 - Date of Birth

Please list any allergies for your child(ren) below.

Please list any dietary restrictions for your child(ren) below.

Please list any medical or behavioral considerations for your child(ren) below.

Will your child(ren) need transportation to or from VBS? We will have church vans available for pickup and drop off in the Pikeville area. (Select all that apply) Required

Pick Up for VBS

Drop off After VBS

No Transportation Needed

If transportation needed, physical address for pick up and/or drop off:

If there are additional adults who may pick up your child, please list name(s) here.

My permission is granted for Glory Church and its staff and volunteers to obtain necessary medical attention in case of sickness or injury to my child.

I understand that my child may be photographed or videotaped while participating in the activities and events sponsored by Glory Church, and give my permission and consent to allow these photographs or videotapes to be used in promotional materials.

Thank you! Your regstration has been successfully submitted!