VBS 2017 Maker Fun Factory  Registration
 
VBS 2017 Maker Fun Factory Registration
Welcome to Maker Fun Factory VBS where kids will get creative with gears, rockets and robots as they learn they are Created by God and built for a Purpose!
June 12 - 16 this VBS is for kids 4 years old - 5th Grade. The cost is $35 for the 1st child / $20 for the 2nd child / $10 for each additional child of the same family. Registration includes a T-Shirt. All who are registered by June 1 will receive a Free Music CD!
How Many Children Will Attend? (see drop down for prices per child)  * 
ONLY COMPLETED REGISTRATIONS WILL BE ACCEPTED: Please take the time to complete every write in field on the registration for each child you are registering for VBS.
1st Child’s Name (first & last)  * 
1st Child's Birthday (month, day & year) Ex: 1/1/2011  * 
1st Child's Age  * 
1st Child's Grade (Entering into the 2017-18 School Year)  * 
1st Child's T-Shirt Size:  * 
1st Child: Any Allergies or Special Needs? If so list here:
2nd Child's Name (first & last)
2nd Child's Birthday (month, day & year) Ex: 1/1/2011
2nd Child's Age
2nd Child's Grade (Entering into the 2017-18 School Year)
2nd Child's T-Shirt Size
2nd Child: Any Allergies or Special Needs? If so list here:
3rd Child's Name (first & last)
3rd Child's Child's Birthday (month, day & year) Ex: 1/1/2011
3rd Child's Age
3rd Child's Grade (Entering into the 2017-18 School Year)
3rd Child's T-Shirt Size:
3rd Child: Any Allergies or Special Needs? If so list here:
4th Child’s Name (first & last)
4th Child's Birthday (month, day & year) Ex: 1/1/2011
4th Child's Age
4th Child's Grade (Entering into the 2017-18 School Year)
4th Child's T-Shirt Size:
4th Child: Any Allergies or Special Needs? If so list here:
Parent’s Name:  * 
Parent’s Address (street, city & zip code) * 
Parent Cell Number:  * 
Emergency Contact Name and Number (NOT A PARENT):  * 
Your Email Address  * 
I give Church of the Palms permission for use of photography including my child in church publicity.  * 
I give Church of the Palms permission to contact me through my address, phone or email.  * 
If you have any questions or about this online registration please contact Lisa at 941-924-1323 X208 or at LBaughman@churchofthepalms.org
Total $
 
 
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