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Sunday Mornings
Wednesday Nights
About
Our Beliefs & Commitments
Our Team
CCFHL
Get Involved
Connection & Discipleship
Prayer & Care
Serving Locally & Globally
Give to SCC
Kids & Youth
Children’s Ministry
Preschool
Youth Ministry
Camps & Retreats
Camp Casey
Camp Scholarships
Contact Us
Location & Hours
Calendar Request Form (mini BUD)
Event Details Form (full BUD)
Home
I’m New
Gatherings
Sunday Mornings
Wednesday Nights
About
Our Beliefs & Commitments
Our Team
CCFHL
Get Involved
Connection & Discipleship
Prayer & Care
Serving Locally & Globally
Give to SCC
Kids & Youth
Children’s Ministry
Preschool
Youth Ministry
Camps & Retreats
Camp Casey
Camp Scholarships
Contact Us
Location & Hours
Calendar Request Form (mini BUD)
Event Details Form (full BUD)
Vacation Bible School Registration
Parent's Infomation
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
Cell Phone
Email
*
Emergency Contact Name
First
Last
Emergency Contact Phone
Does your child regularly attend church? If yes, what church?
Number of Children?
*
1
2
3
4
Child's Information
Name
*
First
Last
Gender
Grade Just Completed
Name of friend your child would like to be in a group with (only same age/grade friends please)
Food allergies and/or medical concerns?
Okay to use photos including child for ministry purposes?
*
Yes
No
2nd Child's Information
Name
*
First
Last
Gender
Grade Just Completed
Name of friend your child would like to be in a group with (only same age/grade friends please)
Food allergies and/or medical concerns?
Okay to use photos including child for ministry purposes?
*
Yes
No
3rd Child's Information
Name
*
First
Last
Gender
Grade Just Completed
Name of friend your child would like to be in a group with (only same age/grade friends please)
Food allergies and/or medical concerns?
Okay to use photos including child for ministry purposes?
*
Yes
No
4th Child's Information
Name
*
First
Last
Gender
Grade Just Completed
Name of friend your child would like to be in a group with (only same age/grade friends please)
Food allergies and/or medical concerns?
Okay to use photos including child for ministry purposes?
*
Yes
No
By submitting this registration, I agree to the following…
I hereby give approval for my child to attend Vacation Bible School at Shoreline Covenant Church, to participate in all activities, and authorize emergency medical care when deemed necessary.
*
I Agree
