Walworth Council of Churches

2016 Vacation Bible School

July 31-August 4, 9:00-noon

Walworth United Methodist Church &

Second Baptist Church of Walworth

Open to children age 4-those having completed 6th Grade

Activities will include crafts, science exploration, outdoor games, drama, snacks, and music

Vacation Bible School is open to 4-year-olds through grade 6 (Those having completed 6th grade have the option to participate as volunteers.)

Child’s Name: _______________________________

Street Address: __________________________

City: _____________________________   State: ________   Zip: ______________

Home Phone: ______________________  Cell #: ______________________

E-mail Address: ____________________________

Date of Birth: _________________ Last grade completed: ______

Parent/Guardian Name: _________________________________

Emergency Contact: __________________________________

Emergency Phone: _____________________________

Home Church: ______________________________

 

May child be released to person/s other than parent/guardian?  ______

If yes, who? ___________________________________

Any medical conditions  or allergies to food, medications, bee stings?

____________________________________________________________________

 

New volunteers are always appreciated.  Orientation/training will be provided.  Youth who have completed 6th grade have the option of attending or volunteering.  To volunteer, please use email or phone contact at bottom of form.

 

If you would like to make a donation to help with VBS expenses, please mail checks to:

          Walworth Council of Churches   P.O. Box 564   Walworth, N.Y.   14568

 

IMPORTANT: PLEASE REGISTER IN ADVANCE SO THAT WE CAN ASSURE A CREW ASSIGNMENT AND MATERIALS FOR EACH CHILD.

 

Please email information to:  kritterkathy.rr.com@rochester.rr.com

By phone, contact: Kathy King at (315) 960-1489 or Sue Gibson at (585) 455-0850