VBS

VBS June 25-29, 9-11:30am. 

Experiencing God’s Word at Shipwrecked, one memorable Bible Point is reinforced throughout each station, each day — making it easy to apply long after VBS is over.

A Day At Shipwrecked VBS
Each day at Shipwrecked VBS, kids travel through field-tested rotations that reinforce relevant Bible Points and immerse kids in new adventures.

Register Today

Family Information

Parent First Name*:

Parent Last Name*:

Address*:

City*:

Zip*:

Best Phone to reach you during VBS hours*:

Parent Email*:

Participant Information

First Name*:

Grade in School for 2018-19:*

Participant 2 Information

First Name:

Grade in School for 2018-19:*

Participant 3 Information

First Name:

Grade in School for 2018-19:*

Participant 4 Information

First Name:

Grade in School for 2018-19:*

Participant 5 Information

First Name:

Grade in School for 2018-19:*

Does your child have any food allergies?:*
yesno

Does your child have any medical history we need to be aware of?:*
yesno

As the legal parent or guardian, I release and hold harmless Delavan Christian Reformed Church and its volunteers from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of Delavan Christian Reformed Church VBS volunteers in route to or from any of said premises.

I've read the above and agree*.

The undersigned gives permission to Delavan Christian Reformed Church and its volunteers to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restrictions, or condition and/or declare the participant to be in good physical and mental health.

I've read the above and agree*.

I am aware that individual and group publicity photos and videos are taken from time to time and in consideration for my or my child(ren) participation I hereby grant my permission for my child(ren) likeness to be used in Delavan Christian Reformed Church publicity or advertising.

I've read the above and agree*.

Please add me to your email list to keep me posted on events, classes and teams.

Please enter your initials below to digitally sign this electronic registration form*: