This year Divine Redeemer’s VBS theme is ROAR “Life is Wild, God is Good” This epic African adventure engages the whole herd. At ROAR, kids explore God’s goodness and celebrate a ferocious faith that powers them through this wild life. Sign up your children now and invite your neighbors, relatives and friends. Dates: June 17-21, 2019 Time: 9:00 AM - 12:00 PM (Noon) Ages: For 3-year-olds (Potty-trained Pre-school) through 6th grade (Must be 3 years old by 6/21/19) Cost: $20 each child (which includes a t-shirt per child and music CD per family) Children of member volunteers attend for free. Registration closes when capacity is reached or by May 31, 2019
Child(ren) Information
1st Child's Name
 
FIRST CHILD'S AGE
1st Child's Age
 
First Child's Grade Level
1st Child's Grade Level
 
SECOND CHILD'S INFORMATION
2nd Child's Name
 
2nd Child's Age
2nd Child's Age
 
2nd Child's Grade Level
2nd Child's Grade
 
3rd Child's Information
3rd Child's Name
 
3rd Child's Age
3rd Child's Age
 
3rd Child's Grade Level
3rd Child's Grade
 
4th CHILD'S INFORMATION
4th Child's Name
 
4th Child's Age
4th Child's Age
 
4th Child's Grade Level
4th Child's Grade
 
5th CHILD'S INFORMATION
5th Child's Name
 
5th Child's Age
5th Child's Age
 
5th Child's Grade Level
5th Child's Grade
 
PARENT'S INFORMATION
Parent's Name
 
ADDRESS, CITY & ZIP
Street Address, City & Zip
 
Phone #1
Phone #
 
Phone #2
Phone #2
 
EMAIL INFORMATION
Email Address
 
PAYEE INFORMATION
Whose name is the check being drawn from
 
BAPTISM INFORMATION
CHURCH INFORMATION
What is the name of the church you attend? (If applicable)
 
MEDICAL INFORMATION
List allergies or other medical / behavioral concerns relevant to VBS week. (Please be specific for each child)
 
MARKETING PERMISSION: I understand that my child(ren), along with any other persons present on our campus, may be photographed/interviewed/filmed during VBS week. Photographs of children may be utilized to recognize children’s achievements, promote the church and its programs, and other marketing/advertising purposes. Formats may include, but are not limited to, the DRLC website, Facebook, local newspapers, church videos, etc. No names of students or other identifying, specific information will appear with web-published formats unless approved by ministry directors. Photographs will only include names and residing city information when appropriate for local newspapers or approved by parents. My choice will remain in affect for the Vacation Bible School Week (June 17-21, 2019)
T-SHIRT INFORMATION - CHILD #1 (T-shirt size required) Choices are: Youth X-Small, Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large, Adult X-Large
1st Child's Name and T-shirt size
 
T-SHIRT INFORMATION - CHILD #2 (T-shirt size required) Choices are: Youth X-Small, Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large, Adult X-Large
2nd Child's Name and T-shirt Size
 
T-SHIRT INFORMATION - CHILD #3 (T-shirt size required) Choices are: Youth X-Small, Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large, Adult X-Large
3rd Child's Name & T-shirt Size
 
T-SHIRT INFORMATION - CHILD #4 (T-shirt size required) Choices are: Youth X-Small, Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large, Adult X-Large
4th Child's Name & T-shirt Size
 
T-SHIRT INFORMATION - CHILD #5 (T-shirt size required) Choices are: Youth X-Small, Youth Small, Youth Medium, Youth Large, Adult Small, Adult Medium, Adult Large, Adult X-Large
5th Child's Name & T-shirt Size
 
AFTER VBS CARE. My Child(ren) will be:
I learned about VBS from:
Our VBS is an outreach program. Please prayerfully consider how you might help. I will....