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