Save the date for our summer VBS here at Pinecrest ARP Church!Tuesday-FridayJuly 14-17, 20269AM-NOON Register Here! Please enable JavaScript in your browser to complete this form.First Child's Name *FirstLastWhat grade was your first child in last school year? *Pre-K4KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeSecond Child's NameFirstLastWhat grade was your second child in last school year?Pre-K4KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeThird Child's NameFirstLastWhat grade was your third child in last school year?Pre-K4KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeFourth Child's NameFirstLastWhat grade was your fourth child in last school year?Pre-K4KindergartenFirst GradeSecond GradeThird GradeFourth GradeFifth GradeHave you or your child(ren) attended previous events or worship services at Pinecrest ARP Church? *YesNoDo you attend another church? If so, which church?Parent/Guardian Name *FirstLastRelationship to Child *ParentRelativeGuardianParent/Guardian Email *VBS communications only.Parent/Guardian Phone *Does your child(ren) have allergies or are there things we need to be aware of?Who has permsission to pick up your child(ren)? *Please list first and last names and relationship.Permission & Agreement *I agree and give my permissionI, the parent and/or legal guardian of the above named minor do hereby appoint Pinecrest ARP Church to act on my behalf in authorizing emergency medical, dental, surgical care and or hospitalization for this child in the event I cannot be reached. I agree to be financially responsible for all treatment. I give permission for my child to be picked up by the persons listed above. I give permission for my child's picture to be used in all Pinecrest ARP Church's publications. The Vacation Bible School program at Pinecrest ARP Church is provided free of charge.Submit
