VACATION BIBLE SCHOOL: June 19 - June 23, 2023, 8:45 am - 1 pm. For children who are 3 yrs. old (3 by January 31, 2023) through Grade 6 (entering Grade 6 in September). All children must be fully potty trained.

This year’s Vacation Bible School will feature Fun and Creative activities, Lessons, Crafts, Breakfast and Lunch! The day will begin with a simple breakfast and the kids will then move on to stations including music & drama, crafts, recreation & games, and at the end of the day all of the kids will gather together for lunch.

Parent/Guardian Name(s)

This address will receive a confirmation email

Cell Phone

Home Phone

Work Phone

Address

Child's Name

Child's Age

Any allergies or medical conditions?

Child's Name

Child's Age

Any allergies or medical conditions?

Child's Name

Child's Age

Any allergies or medical condiitons?

Child's Name

Child's Age

Any allergies or medical conditions?

Emergency Contact (other than parent)

Emergency Contact Relationship to Child(ren)

Emergency Contact's Phone

Do you have a church affiliation?

What else would you like us to know about your child?

PCCT may use photos which may include my child (without name) in internal print or web publications. Yes/No?

Payment

One Child ($150.00) Child + Sibling ($300.00) 3 Siblings ($450.00)

Amount

$150 per child. Payment due upon registration. Please note: No refunds after May 1, 2023

Volunteers to assist with the kids, food prep/clean-up are crucial to ensuring a successful program.

I am interested in volunteering myself:

Please select all that apply.

Mon. 6/19 Tues. 6/20 Wed. 6/21 Thurs. 6/22 Fri. 6/23

Volunteering my Middle School Student:

Please select one option.

Mon. 6/19 Tues. 6/20 Wed. 6/21 Thurs. 6/22 Fri. 6/23

Name

Volunteering my High School Student:

Please select one option.

Mon. 6/19 Tues. 6/20 Wed. 6/21 Thurs. 6/22 Fri. 6/23

Name

For more information, please contact Yvonne Anderson, Director of Family Ministries, yanderson@pcct-nj.org

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

VACATION BIBLE SCHOOL: June 19 - June 23, 2023, 8:45 am - 1 pm. For children who are 3 yrs. old (3 by January 31, 2023) through Grade 6 (entering Grade 6 in September). All children must be fully potty trained.

Description

Please Fix the Following