vbs - Jerome Christian Church

VACATION BIBLE SCHOOL

It is time for another Vacation Bible School! This year we are learning about the sea. Every night there will be Bible lessons, worship music, funny skits, games and snacks for potty-trained 3's to 5th grade kids! Register online or at the church today!

CHILDREN WHO ATTEND JCC CHILDREN’S PROGRAMS MUST HAVE A 2021 VBS LIABILITY/MEDICAL RELEASE FORM ON FILE.

2021 RELEASE FORM

Let us know you are coming!

We make custom name tags with important information for all VBS kids! Please fill out the information below so we can be prepared for your child.

* Indicates required field

Child's Name *

First

Last

Parent's Name *

First

Last

Gender *

AGE *

Grade going into in the fall *

Phone Number *

Email *

Medical Information

Medical Insurance Company *

Insurance Phone Number *

Policy # *

BIN# *

Group # *

Physician's Name *

First

Last

Physician's Phone Number *

Known Allergies *

Submit

VACATION BIBLE SCHOOL

Let us know you are coming!

Medical Information

9535 East 100 South | Greentown, Indiana 46936 | 765-628-3126