VBS 2021 - Gentle Shepherd Community Church - Grey County Inc.

August 16-20, 2021 ~ 9am-12pm | Pre-registration is required.

Please complete this form and click submit. You are required to fill out a form for each child. Rocky Railway is for children who will be in SK-Grade 6 in the fall.

Child's Name (Please fill out separate forms for each child)

*

Birth Date

Last School Grade Completed in June

*

Please select one option.

JK SK 1 2 3 4 5

Parent(s) Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Home Church

Allergies & Medical Conditions

Is there anyone you would like to have in your crew? (We may not be able to accommodate all requests)

*

Emergency Contact

Name

*

Phone

*

Relationship to Child

*

Please select one option.

Father Mother Grandparent Relative Caregiver

Description

August 16-20, 2021 ~ 9am-12pm

Pre-registration is required.

Please complete this form and click submit. You are required to fill out a form for each child. Rocky Railway is for children who will be in SK-Grade 6 in the fall.

Please Fix the Following

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