VBS 2022Join us for a week of Music, Crafts and Games!!When: August 15 – 199am till 12pmWho: Ages 4 years to rising 5th GradersWhere: 378 Main St. Hingham CongregationalAll planned activities will be held outside, weather permitting.VBS RegistrationGuardian (s)/Parent(s) Name(s)*Number of Children Attending VBS*1 child2 children3 children4 childrenChilds Name* First Last Age Grade Youth Tee Shirt Size*XSSMLXLXXL2nd Childs Name* First Last Age Grade Youth Tee Shirt Size*XSSMLXLXXL3rd Childs Name* First Last Age Grade Youth Tee Shirt Size*XSSMLXLXXL4th Childs Name* First Last Age Grade Youth Tee Shirt Size*XSSMLXLXXLAddress* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Home Phone*Cell Phone*IN CASE OF EMERGENCY*Name and Phone NumberAllergies 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 OtherOtherIs there any other information that would assist us in working with your child/ren?Total $0.00 Payment*Credit CardAmerican ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name
