VBS 2018 at Coastal Oaks Church
Register for VBS 2018 at Coastal Oaks Church by completing this form. This form registers one child at a time, so if you need to register multiple kids reload the form for each child.  Email confirmation will be sent to the email address you provide.

*ALL KIDS UNDER THE AGE OF EIGHTEEN (18) MUST BE REGISTERED BY A PARENT OR LEGAL GUARDIAN, NO EXCEPTIONS.*

Dates: June 11-15, 2018
Ages: 4 yrs old - 5th grade
Time: 6:00 - 8:30pm
Register for VBS
 
I am a parent or guardian 18 years old or older and am legally permitted to register my child for VBS at Coastal Oaks Church. *

     
 
Hi, parent, what is your FIRST and LAST name? *

If you are NOT the legal guardian for the child which you intend to register for VBS 2017 at Coastal Oaks Church, please close this form.  You may only register kids for VBS for which you are the legal guardian.
 
What is the easiest number at which to contact you, {{answer_vmNIVAKQt9BY}}? *

Numbers only, no dashes or spaces.
 
What type of contact number is this? *


 
What is your street address, {{answer_vmNIVAKQt9BY}}? *

Please include city/state/zip.
 
If your child or children will be picked up from VBS by someone other than yourself, please provide FIRST and LAST names of those individuals.

 
Would you like to purchase a CD with the music from VBS 2016 for $5.00? *

Paid in person with cash or check on the opening night of VBS 2017 at Coastal Oaks Church.
     
 
FIRST and LAST NAME of Child *

 
Is {{answer_HG1rtzuepPh6}} a male or female? *


 
What grade has {{answer_HG1rtzuepPh6}} completed? *


 
What is {{answer_HG1rtzuepPh6}}'s birthday? *

mm/dd/yyyy
 
How old is {{answer_HG1rtzuepPh6}}? *


 
Would you like to purchase a VBS t-shirt for {{answer_HG1rtzuepPh6}} for $10? *

Paid in person with cash or check on the opening night of VBS at Coastal Oaks Church.
     
 
What size t-shirt does {{answer_HG1rtzuepPh6}} wear? *


 
Are there any allergy, medical, or physical ability concerns for {{answer_HG1rtzuepPh6}} about which the VBS leadership team should know? *

     
 
Please explain why you answered "yes" the previous question. *

 
DECLARATION OF GUARDIANSHIP
I, {{answer_vmNIVAKQt9BY}}, am the parent or legal guardian of {{answer_HG1rtzuepPh6}} and I am permitted by Law to complete this form as his or her parent or guardian. *

     
 
DECLARATION OF PERMISSION
I, {{answer_vmNIVAKQt9BY}}, do hereby grant permission for {{answer_HG1rtzuepPh6}}, for whom I am legally responsible, to participate fully in VBS 2018 at Coastal Oaks Church. *

     
 
MEDIA RELEASE
I, {{answer_vmNIVAKQt9BY}}, hereby understand that photos and videos of {{answer_HG1rtzuepPh6}} may be taken by staff or volunteers during VBS, and do hereby grant permission for any such photos to be used in future promotional materials for any event at Coastal Oaks Church, with no expiration date. *

     
 
If you answered "No" or "Permission Denied" to this question, please click the "Close Form" button below.

An affirmative response is required to register for VBS at Coastal Oaks Church.
Thank you so much for registering for VBS 2018 at Coastal Oaks Church!  A copy of this registration has been sent to the email address you provided.

REMINDERS:
1. Payment for CDs and shirts are due no later than the opening night of VBS and can be paid in cash or by check.

2. If you have more kids to register for VBS, click the "Start Over" button below and complete the form again.
Start Over