2019 Vacation Bible School at Aldersgate Church in York, PA

Join us for a week of fun at Vacation Bible School for children
ranging from 3 years to 5th grade.

This is a week adventure your children won’t want to miss out on.
July 15th – 19th from 8:30AM to 11:30AM.

All are welcome!

Complete the Form Below to Register.

How Did You Hear About VBS? (Check all that apply)
If Other, How?

 

Parent/Guardian Information
First Name
Last Name
Email Address*
Address
City
State
Zip Code*
Primary Phone #
Secondary Phone #

 

Emergency Contact (different from contact listed above)
Emergency Contact First Name
Emergency Contact Last Name
Emergency Contact Primary Phone #
Secondary Phone #

 

Child Pickup Authorization
Please list anyone else other than those named above who has permission to pickup your child (first & last name)

Child Registration
Child 1 First Name*
Child 1 Last Name*
Child 1 Age Group (just completed)*
Child 1 Age*
Please list any medical conditions or other considerations we should be aware of. If your child requires medication, please bring to VBS on the first day.

Child 2 First Name
Child 2 Last Name
Child 2 Age Group (just completed)
Child 2 Age
Please list any medical conditions or other considerations we should be aware of. If your child requires medication, please bring to VBS on the first day.

Child 3 First Name
Child 3 Last Name
Child 3 Age Group (just completed)
Child 3 Age
Please list any medical conditions or other considerations we should be aware of. If your child requires medication, please bring to VBS on the first day.

Child 4 First Name
Child 4 Last Name
Child 4 Age Group (just completed)
Child 4 Age
Please list any medical conditions or other considerations we should be aware of. If your child requires medication, please bring to VBS on the first day.

Child 5 First Name
Child 5 Last Name
Child 5 Age Group (just completed)
Child 5 Age
Please list any medical conditions or other considerations we should be aware of. If your child requires medication, please bring to VBS on the first day.

 

Special Requests
Children will be placed into mixed age crews. We will try our best to accommodate special requests to keep friends and siblings together or apart List your requests below.

 

Photo Release Authorization

 

Medical Treatment Authorization

 

There's a Place for You at
Aldersgate Church

Whether you're drawn to traditional hymns with liturgy or prefer a more casual experience with today's Christian music, there's a place for you at Aldersgate UMC.

At Aldersgate, we strive to be a community of growing believers who Know, Live, and Share Jesus. Our mission is to make new disciples of Jesus Christ for the transformation of the world.

 
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