VBS - Elyria!

June 18, 25 & July 2, 9, 16 | 5:30-8 PM

Who's ready to Live it Out?! Get ready to join us Wednesday nights; June 18th through July 16th for food, games, crafts, and worship as we explore how to Love like Jesus through everyday actions!
On June 18th meet us at Elyria Friends Church 5:30PM-8PM where we kick off this kids camp bible exploring adventure.
Then, meet us every Wednesday, June 25-July 16th 5:30 PM-8PM at the West Rec pavilion in Elyria!
A meal will be served at 5:30PM.
In case of rain, kids camp will move to Elyria Friends Church.

Child Information

First Name

Last Name

Gender

Female

Male

Age

Birthdate

Parent/Guardian Information

First Name

Last Name

Email

If we have a locatoin change due to weather we will contact you via the above email address.

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Emergency/Authorized Contacts

Is the primary emergency contact the same as the parent/guardian listed above?

Yes

No

Emergency Contact 1- First Name

Last Name

Phone Number

Emergency Contact 2- First Name

Last Name

Phone Number

Health Information

Are there any medical concerns or special needs we need to know?

Does your child have any allergies we need to be aware of?

Yes

No

Please describe your child's allergy and the reaction that occurs

What protocol should we follow in the event of an allergic reaction

VBS - Elyria!

June 18, 25 & July 2, 9, 16 | 5:30-8 PM

Child Information

Parent/Guardian Information

Emergency/Authorized Contacts

Health Information

Additional Information