VBS Enrollment Form
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Vacation Bible School:  June 10 - 14, 2019

Monday - Thursday 9:30-11:30, Friday 9:30-12:45 (picnic)

Parent/Guardian Information

Parent's  Name(s) 
City State Zip
Home Phone Emergency Phone

Student('s) Information

Student's Name Student's Age Last Grade Completed T-Shirt Size**

** In Order to ensure that your child receives his/her T-shirt during Vacation Bible School week, this form must be completed and submitted no later than June 1st.  Students submitting forms after June 1st will receive their T-Shirts as soon as they arrive.  Shirts arriving after VBS ends will be mailed to students.

  Food Allergies

Because we serve refreshments of punch & cookies to the children each day, please note any food allergies your child(ren) has so we may be aware of them ...


  Medical Conditions

Please list any physical and/or medical conditions that we should know about per child...


  Permission to attend picnic

bulletMy children, named above, have my permission to attend the Massillon Church of Christ Vacation Bible School picnic, which will be at the Kiwanis' Park on Oak Avenue NE in Massillon on Friday, June 14th.  I give my permission that transportation to and from the park be done by car.
bullet2 and 3 year olds must be accompanied to the picnic by an adult.
bulletOn Friday, your child(ren) can be picked up at the church building between 12:45 and 1:00pm.

            Parent/Guardian APPROVAL    I give permission     I do NOT give permission.

  Thank you!!

Glenn Hawkins, VBS director

Rick Kelley, Educational Director