John Calvin Presbyterian Church
Vacation Bible School

Ages 3(by 1/1/21 and potty-trained) – exiting 4th grade

July 26-30, 2021       

9:00-Noon

 

Fees: $40.00 __________________     Max $60.00 per family

Scholarships Available

Child’s Name____________________________Child’s gender________________

Child’s Age_____________        Date of birth______________________________

JCPC Playschool Student ___________           Grade completed________________

Guardian 1 Name ________________________                 Cell#________________

Guardian 2 Name _____________________________      Cell#________________

Address____________________________________________________________

Email Address_______________________________________________________

Allergies or other medical conditions: ____________________________________

In case of emergency, contact: _________________________________________

Phone:___________________________       Relationship to child:_____________