Arlington Community Church - United Church of Christ

"Yearning and Learning to Serve"




ACC will be hosting VBS on May 30-31, 2019. Registration forms are available below and in the church narthex. 

                Registration Form

                                                              (One per Child)





Child's Name ______________________________________________________________________________________________________


Child's Age ___________  Date of Birth ___________________  Last school grade completed _____________


Name of parent(s)___________________________________________________________________________________________________


Street Address ______________________________________________________________________________________________________


City _________________________________________________ State ________________________ Zip _____________________________


Home Telephone: (__________) _________________________________________________________________________________________


Parents/Caregiver's cellphone: (____________) _____________________________________________________________________________


Home email address: ___________________________________________________________________________________________________


Crew number or name (for church use only):_________________________________________________________________________


Allergies or other medical conditions: ______________________________________________________________________________


In case of emergency, contact: _____________________________________________________________________________________


Phone: ____________________________________________________________________________________________________________


Relationship to child: ________________________________________________________________________________________________

Permission to copy this resource from Group's Yee-Haw VBS granted for local church use.

Copyright 2019 Group Publishing, Inc., Loveland, CO.group.com/vbs.