Irvine VBS 2019 Registration Form

Thank you for joining us at Crossway Irvine's VBS 2019! We are excited to welcome and to meet each one of you this year!

Theme: In The Wild! Amazing Encounters With Jesus
Location: Portola High School
Date: August 6-8, 2019
Time: 5 to 8 pm, dinner is provided
Cost: $30 per child, $25 per additional sibling

If you have any questions, please contact Peter at peter@crossway-church.com. We look forward to seeing you soon!

Child's Name

Age/Last school grade completed

Please select one option.

2 years old 3 years old 4 years old 5 years old Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

Child's T-Shirt Size (children's sizes)

Please select one option.

XS S M L XL

1st Sibling's Name

Age/Last school grade completed

Please select one option.

2 years old 3 years old 4 years old 5 years old Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

1st Sibling's T-Shirt Size (children's sizes)

Please select one option.

XS S M L XL

2nd Sibling's Name

Age/Last school grade completed

Please select one option.

2 years old 3 years old 4 years old 5 years old Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade

2nd Sibling's T-Shirt Size (children's sizes)

Please select one option.

XS S M L XL

3rd Sibling's Name

Age/Last school grade completed

Please select one option.

2 years old 3 years old 4 years old 5 years old Kindergarten First grade Second Grade Third Grade Fourth Grade Fifth Grade

3rd Sibling's T-Shirt Size (children's sizes)

Please select one option.

XS S M L XL

Allergies or other medical conditions:

Additional notes:

Parent/Guardian Name

This address will receive a confirmation email

Phone

Option

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Irvine VBS 2019 Registration Form

Description

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