23401 Madero Ste. A, Mission Viejo, CA 92691 Service time: Sunday at 9:30am


Vacation Bible School


Dates: July 24-28
Time: 9am to 12 noon
Ages: 4 through 11

To ensure placement, please pay via PayPal (link at bottom of page) or mail payment to the Saddleback Covenant Church address (checks payable to SCC).
(1 child- $40, 2 children- $75, 3 children- $110, 4 children- $140)

Dear Parents,

Be sure your kids have a great summer of fun while getting excited about Jesus!

Each day your children will be a part of fun Bible learning they can see, hear, touch, and even taste! Bible Point Crafts, team-building games, lively Bible songs, and tasty treats are just a few of the VBS activities that help faith grow into real life. Kids will also participate in a Daily Challenge – an exciting way to live out what they’ve learned.

As kids learn about Jesus’ love, they’ll also enjoy hands-on Bible adventures and daily video visits from some loveable cartoon characters. Since everything is hands-on, kids might get a little messy. Be sure to send them in play clothes and safe shoes.

VBS is great fun for children of all ages!

Please fill out the following form to register for this year’s VBS!

FAMILY INFORMATION:

Mother's First and Last Name *

Father's First and Last Name

Home Address*

Phone Number*

Email*

Home Church

Would you like to be contacted regarding volunteer opportunities at VBS? YesNo

PARTICIPANT INFORMATION

While we do our best to accommodate friend requests, group placements will be made at the discretion of the VBS Staff.

1st Child:

First and Last Name of 1st Child*

Gender*
MaleFemale

Age*

Birthdate*

Grade Entering in Fall*

T-shirt size

Allergies or Medical Concerns:

Friend Request: My child would like to be placed in a group with the following VBS participants:

2nd Child:

First and Last Name of 2nd Child

Gender
MaleFemale

Age

Birthdate

Grade Entering in Fall

T-shirt size

Allergies or Medical Concerns:

Friend Request: My child would like to be placed in a group with the following VBS participants:

3rd Child:

First and Last Name of 3rd Child

Gender
MaleFemale

Age

Birthdate

Grade Entering in Fall

T-shirt size

Allergies or Medical Concerns:

Friend Request: My child would like to be placed in a group with the following VBS participants:

4th Child:

First and Last Name of 4th Child

Gender
MaleFemale

Age

Birthdate

Grade Entering in Fall

T-shirt size

Allergies or Medical Concerns:

Friend Request: My child would like to be placed in a group with the following VBS participants:

Emergency Contact:

In case of emergency, contact:*

Emergency contact’s relationship to child:*

Phone number of emergency contact*

Physician/Insurance:

Child’s physician’s name:*

Physician phone number:*

Insurance Carrier:*

Policy #:*

Pick-Up Permission

We understand that your child may be carpooling with another family or may be picked-up by an individual other than yourself. It is state law that children can only be released to persons authorized by the parents in written consent. Please list any individual who has permission to pick up your child and please advise them that photo ID will be required for verification.

In addition to parents listed above, the following individuals have permission to pick up my child from VBS:

Name 1:

Relationship to child:

Phone number:

Name 2:

Relationship to child:

Phone number:

Name 3:

Relationship to child:

Phone number:

Name 4:

Relationship to child:

Phone number:

EMERGENCY INFORMATION/WAIVER:

I, parent or guardian of the listed child(ren) grant permission for my child(ren) to attend VBS at Saddleback Covenant Church (SCC). I hereby release SCC from any liability in regards to sickness or injury that may occur during VBS. In addition, I grant permission to any member of the SCC or VBS staff to see that necessary medical assistance is rendered to my child(ren) should accident, sickness or injury take place. I also understand that in case professional emergency treatment is deemed necessary, every effort will be made to contact me immediately, but I give permission to proceed if I cannot be reached so that essential treatment will not be delayed.

I understand that my child(ren) may be photographed during the week and the photos may be used for promotional material. I understand that group placements will be made at the discretion of the VBS Staff.

*I acknowledge that I have carefully reviewed and consent to the waiver set forth above.

Please enter the following text in the space below:
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Number of Children (total includes PayPal surcharge)



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