JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Proof Pirates VBS
Grace Evangelical Free Church
June 18th-22nd
9:00 a.m. - 12:30 p.m.
Lunch Provided
$15 per child/$45 family maximum (before June 1)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Information
This section needs to be filled out for each child.
First Name
*
Your answer
Last Name
*
Your answer
Birthday
*
MM
/
DD
/
YYYY
Grade in Fall 2018
*
Preschool (must be potty trained)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
T-shirt size
*
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Adult Large
Lunch will be provided at no additional cost from 12-12:30. Will your child stay for lunch?
Children not staying for lunch need to be picked up at 12:00.
Yes
No
Clear selection
Name of friend child would like to be grouped with, if possible.
Your answer
Allergies, medical conditions, or other notes about child:
Your answer
Parent/Guardian Information
If registering multiple children, please fill out this section completely once. You only need to fill out the name line for subsequent children.
Name (First and Last)
*
Your answer
Phone Number
Your answer
Email
Your answer
Emergency Contact Name
Must be different than the parent/guardian listed above (If needed, we will attempt to contact the parent/guardian first and the emergency contact second)
Your answer
Emergency Contact Phone Number
Your answer
Additional Comments (optional)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
