2024 Scuba VBS - June 17-20, 9am-12pm

Parkside Church is excited to invite you to Scuba VBS, open to kids age 4 - Grade 5 (Fall 2024).

Parent Information

Parent Name

This address will receive a confirmation email

Phone

Address

Who is allowed to pick up your child(ren) each day?

Payment

Click VBS Registration Fee arrow below for payment options.

VBS Registration Fee

Interested in taking the music of "Scuba" home with you? Purchase is optional. Pre-purchased CDs can be picked up at VBS check-in, so you can learn the songs along with your child during the week of VBS! CD's can also be purchased on the Group website.

Scuba Sing & Play CD

Emergency Contact

Please include name of contact, phone number, relationship to child(ren) and any other pertinent information.

Disclaimer

I hereby release and hold harmless Parkside Church, its staff and sponsors, from responsibility and liability for any illness (including COVID-19) or injury that my child may sustain during this activity, provided they have exercised reasonable caution and supervision toward the safety of my child. In the event of an emergency, where immediate care is needed and the staff has exhausted all manners of contacting me, I hereby authorize an adult leader of this activity, as agent for me, to arrange medical care for my child.

Yes, I agree No, I do not agree

VBS Media

I grant permission for photographs/video to be taken of my child(ren) and used in the end of the day slideshow and our end of the week VBS video.

Yes, I grant permission No, I do not grant permission

First Child

Name of Child (Last, First)

T-Shirt Size (Registrations received after 5/30 will not be guaranteed a T-Shirt)

S M L XL

Date of Birth

Grade (Fall 2024)

PreK (4 Yrs.) K 1 2 3 4 5

Allergies or other concerns:

I would like to be in a group with (List Name): *Your friend must also request you* While we cannot guarantee certain groupings, we’ll do our best to honor requests.

If you only have one child to register, scroll to Payment. Enter payment information (if paying online) and then click Submit.

Second Child

Please complete all fields (even if it says optional)

Name of Child (Last name, First Name)

T-Shirt Size (Registrations received after 5/30 will not be guaranteed a T-Shirt) S M L XL

Date of Birth

Grade (Fall 2024) PreK (4 yrs. old) K 1 2 3 4 5

Allergies or other concerns (if applicable)

I would like to be in a group with (List Name): *Your friend must also request you* While we cannot guarantee certain groupings, we’ll do our best to honor requests.

If you only have two children to register, scroll to Payment. Enter payment information (if paying online) and then click Submit.

Third Child

Please complete all fields (even if it says optional)

Name of Child (Last Name, First Name)

T-Shirt Size (Registrations received after 5/30 will not be guaranteed a T-Shirt) S M L XL

Date of Birth

Grade (Fall 2024) PreK (4 yrs) K 1 2 3 4 5

Allergies or other concerns (if applicable)

I would like to be in a group with (List Name): *Your friend must also request you* While we cannot guarantee certain groupings, we’ll do our best to honor requests.

If you only have three children to register, scroll to Payment. Enter payment information (if paying online) and then click Submit.

Fourth Child

Please complete all fields (even if it says optional)

Name of Child (Last Name, First Name)

T-Shirt Size (Registrations received after 5/30 will not be guaranteed a T-Shirt) S M L XL

Date of Birth

Grade (Fall 2024) PreK (4 yrs) K 1 2 3 4 5

Allergies or other concerns (if applicable)

I would like to be in a group with (List Name): *Your friend must also request you* While we cannot guarantee certain groupings, we’ll do our best to honor requests.

If you have more than four children to register, please contact Susanna@parksidemn.org

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2024 Scuba VBS - June 17-20, 9am-12pm

Description

Please Fix the Following