VBS 2025 Registration - Old North Church

Vacation Bible School at Old North Church is open for children 4 years old through those who have completed 4th Grade.

Classes are decided based on the grade your child JUST COMPLETED in school. For example, if your child just finished 1st Grade, they will be in a 1st Grade VBS class.

Please fill out one form per child participating in VBS.

**Some classes are already full and registration for those ages/classes is closed as marked below. If you choose one of those closed classes, your child will be put on a Wait List, and we will contact you if space becomes available.**

VBS Participant Information

Name

Address

Gender

Male Female

Birthdate

Age during VBS or Grade JUST COMPLETED

*CLOSED* 4 years old 5 years old Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade

Allergies or medical issues, including dietary restrictions (if none, please leave this space blank)

Registrations received on May 29th or later will not be guaranteed a t-shirt

T-shirt size (youth sizes)

XS (4) S (6/8) M (10/12) L (14/16) XL (18/20)

What is your home church?

Parent/Guardian Information

Name

Phone

This address will receive a confirmation email

Name of Emergency Contact OTHER THAN person listed above

Phone number for this Emergency Contact

Who will be picking this child up from VBS? (List multiple names, if applicable)

Any custody issues we should know about?

I, the undersigned parent/guardian of this minor child, give permission for this child to participate in VBS on June 23-27, 2025 at Old North Church in Canfield, Ohio.

Parent/Guardian Initials

I, the undersigned parent/guardian of this minor child, give permission for my child's picture to be taken to be used in VBS publications or on the church's website and/or Facebook page.

Parent/Guardian Initials

I, the undersigned parent/guardian of this minor child, give permission for the adult bearer of this online document to give consent for emergency medical or surgical treatment of my child by a licensed physician.

Parent/Guardian Initials

I, the undersigned parent/guardian of this minor child, understand and agree that Old North Church disclaims any and all liability in the unlikely event of injuries sustained in connection with VBS 2025 at Old North Church.

Parent/Guardian Initials

I, the undersigned parent/guardian of this minor child, agree to provide snacks for my child during VBS if he/she has any dietary restrictions.

Parent/Guardian Initials

Is there anything else you want us to know? Because of the great volume of participants, we are not able to accommodate special requests such as class placement. Even though it can be difficult for some students to jump into a new class for the first time, we hope they'll adjust quickly and make new friends.

VBS 2025 Registration - Old North Church

Description

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