VBS - Registration Form

Registration Form
At the Fantastic Fruit Farm kids will discover the Fruits of the Spirit and how to use them daily! Every Wednesday morning for the month of August we will be filled with Bible learning, cool songs, tasty treats, crafts and activities!

The program is free and open to kids entering Kindergarten to Grade 6, and runs from 9 AM to 12 PM at the Providence Canadian Reformed Church, (12905 122 Ave NW, Edmonton, AB).

Please fill in your registration information and press the submit button (bottom of the page) when you have completed the form.
Parent's Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent's Home Phone*
Parent's Cell*
Parent's Email Address:*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Dates Attending

August 1August 8August 15August 22August 29

Submit Registration
By clicking submit, you are confirming that all of the above information is correct and you give permission to your child/children to participate in Providence Canadian Reformed Church’s Vacation Bible School (VBS).

In the unlikely event of an emergency I authorize VBS, Staff to act on my behalf and to have my child treated by an accredited physician in an approved emergency clinic or hospital. I further release Providence Canadian Reformed Church and its officers and/or leadership in the event of an accident enroute, during and returning from the daily activities of VBS.

I hereby give my permission for images of my child captured during Providence Canadian Reformed Church’s VBS, through video/photo/digital camera to be used solely for the purposes of Providence Canadian Reformed Church promotional material and publications, and waive any rights of compensation or ownership thereto.
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