2024 Bible Week Registration Form

Caring for God's Creation is a unique half-day Bible week for ALL children, Pre-K through 6th grade.

Activity stations include:
• Science & Nature
• Crafts
• Snack
• Outdoor Games
• Music

Daily themes are:
• Caring for Our Land
• Caring for Our Air
• Caring for Our Water
• Caring for Our Critters
• Caring for Each Other

Registration fee: Earlybirds - $25 per child/$40 per family through June 16th; $30 per child/$45 per family after June 16th. For parents or grandparents volunteering, deduct $10. Financial assistance is available; please inquire.

Please join us! Available to volunteer? Contact Melissa: mprollins@gmail.com.

Information about the Participant

Child's Name (please use one form for each child):

Child’s Date of Birth:

Last school grade completed by July 2023:

Allergies/medical information/support and/or access needs/anything we should know:

Parent/Guardian Information

Name of parent/guardian:

Phone:

Address:

Email:

This address will receive a confirmation email

Name of parent/guardian:

Phone:

Address (if different):

Email:

Home Church (if applicable):

How did you hear about our program?

Emergency Contact Information

Name:

Phone:

Name:

Phone:

Dismissal Information

Name(s) of any additional person(s) who may pick up this child:

Photography Release

Occasionally we photograph children and use the photo/video without identifying children in church publications. Please initial below:

Yes, you may use images of my child:

No, you may not use images of my child:

Registration Fee

Earlybirds - $25 per child/$40 per family through June 16th; $30 per child/$45 per family after June 16th. For parents or grandparents participating in the week, deduct $10. Financial assistance is available; please inquire.

I wish to pay now via credit card

I wish to pay by check the first day of the week Yes

Please note that, in order to keep all activities age-appropriate, we often cannot keep siblings in the same group. Questions? Call 978-262-2822 or email mrollins@mr-online.com

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Please fill out the form below and click submit. Complete one form for each child.
Questions? Call 978-262-2822 or email mrollins@mr-online.com

2024 Bible Week Registration Form

Description

Please Fix the Following