Vacation Bible School 2019

The Hingham Congregational Church and the Hingham House of Prayer invite you to join us this summer for…….

Guardian (s)/Parent(s) Name(s)*
Number of Children Attending VBS*
Childs Name*
First & Nick Name if app Last Age Grade
Youth Tee Shirt Size*
2nd Childs Name*
First Last Age Grade
Youth Tee Shirt Size*
3rd Childs Name*
First Last Age Grade
Youth Tee Shirt Size*
4th Childs Name*
First Last Age Grade
Youth Tee Shirt Size*
Address*
Street Address City State ZIP Code
Email*
Home Phone*
Cell Phone*
IN CASE OF EMERGENCY*
Name and Phone Number
Allergies or Other Medical Conditions:
Video/Photo Release*
I hereby consent that the videotapes, photographs and/or audio recordings that may include my child may be used by Hingham Congregational Church, Hingham, Massachusetts. Please indicate Yes by entering your initials; indicate No by typing NO. *
If VBS team needs help, I would be willing to provide:
- Volunteer
- Supplies
- Decorating Help
- Clean up Help
- I'm unable to help at this time
- Other
Other
Is there any other information that would assist us in working with your child/ren?
Total
$0.00
The total cost is shown above. When you click the register and pay button you will be routed to PayPal's secure site where you can either use a credit card or PayPal.