Fortuna VBS | Eel River Valley Vacation Bible School!

Parent/Guardian Details

First and Last Name

Street Address *

City *

State *

Phone *

Alt. Phone

Email *

Add Partner (Optional)

I would like to add my spouse/partner to the pick-up authorization list

First Name *

Last Name *

Phone *

Child(ren) Attending

Number of children I am bringing to VBS *

Name of Child #1 *

Age *

Allergies

Name of Child #2 *

Age *

Allergies

Name of Child #3 *

Age *

Allergies

Name of Child #4 *

Age *

Allergies

Name of Child #5 *

Age *

Allergies

Name of Child #6 *

Age *

Allergies

Name of Child #7 *

Age *

Allergies

Name of Child #8 *

Age *

Allergies

Name of Child #9 *

Age *

Allergies

Name of Child #10 *

Age *

Allergies

Schedule

June 13-17, 2022 from 1:00-4:00pm

We have an exciting and fun-filled week ahead of us! To help us plan better for everyone, please let us know if your child(ren) will be absent for one or more days.

Schedule Conflicts *YES. My child(ren) will be absent from VBS for 1 or more days.NO. I have no known scheduling conflicts with VBS.

Children Absent Monday *

Children Absent Tuesday *

Children Absent Wednesday *

Children Absent Thursday *

Children Absent Friday *

Pick-up Authorization

We understand that life happens, and it can become difficult or even impossible to pick up your child on time. If you would like to authorize another safe adult besides your self/partner to pick up your child(ren) in case of an emergency, please indicate your wishes here.

Would you like to authorize another pick-up person for your child(ren)? *YES. I would like to add another person to the VBS pick-up list.NO. Do not let anyone else pick up my child(ren) from VBS.

First and Last Name *

Phone *

Welcome to Vacation Bible School 2022!

Welcome to VBS 2022!

June 13-17, 2022 — 1-4pm

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This event is sponsored by

Fortuna Seventh-Day Adventist Church

© The Seventh-Day Adventist Church. All rights reserved.