BEPC VBS '23 Registration

Dates: Tuesday, August 1 to Thursday, August 3, 2023, 5-8 pm

Dinner provided for families 5-5:30

Sunday, August 6 - VBS finale / picnic 10:30

Be sure to hit the Register button at the bottom of the form when completed.

Participant #1

First Name

Last Name

Age as of 8/1

Food Allergies, Medical, & Special Needs

Participant #2

First Name

Last Name

Age as of 8/1

Food Allergies, Medical, & Special Needs:

Participant #3

First Name

Last Name

Age as of 8/1

Food Allergies, Medical, & Special Needs:

If you have more participants - complete the form, hit Register, and then enter more as needed on a second form.

Parent / Guardian

First Name

Last Name

Phone

Street Address

City

State

ZIP Code

Home Church

Would your family like to receive a Bible?

Would you be interested in receiving information about Childrens/Youth ministry events at Bergen Evangelical Presbyterian Church ?

Emergency Contact

First Name

Last Name

Phone

Person Responsible for Pick-up at 8 pm

First Name

Last Name

Phone

Relationship to Participant(s)

Photo Release

I grant permission to photograph/video and release images of the participant(s) registered above which may be used on the Bergen Evangelical Presbyterian Church website, Facebook page, and/or during worship services. Children will not be identified by name in any of the above media.

Yes

Adult / Parent Study

New this year: Study & fellowship group during VBS each evening; topics will include what students will be learning during VBS as well as practical ideas to enhance relationships with your family/children.

Coffee/dessert provided.

Adult Participant Name

Free Family Dinner each night from 5:00-5:30 pm

Number attending dinner

Tuesday

Wednesday

Thursday

Sunday Picnic

Thanks for registering