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Project: Genesis (3 years to 6th Grade)
2017 Maker Fun Factory Vacation Bible School Registration
Kids ages 4 through those just finishing grade 5 are invited to Maker Fun Factory Vacation Bible School
on Sunday, July 9 thru Thursday, July 13 from 6:00 to 8:30 pm
at St. John's Church ~ 1213 Washington Street ~ Genoa, Ohio 43430 ~ 419-855-3906 ~ email@example.com ~ www.stjohnsgenoa.org
To register your child, please fill in the form below and click submit. Then, on Sunday, July 9 come to the church, enter through the main doors
at the center of the parking lot side of the building. We will greet you there, check your child in to their class and direct them from there.
For more than one child, please fill in a registration for each child.
Child's Date of Birth
Last School Grade Child Completed
Name of Parent(s)
Name of church you regularly attend or are member of
Allergies or other Medical Conditions
Relationship to Child
Emergency Contact Phone
Your Opportunity to Make a Difference for Jesus!
VBS is successful when many volunteers pull together for a great week teaching the kids about Jesus! Parents interested in volunteering - sign up here
By registering my child for this event I understand my child may be videotaped or photographed as a part of this event and this media may be used in promotional materials for St. John's in print or web formats.
I give consent for my child to participate in all activities associated with St. John's VBS 2017. In good faith, I agree not to hold St. John's or any representatives responsible for any injuries, incidences, or medical expenses associated with their participation in this event. I understand that the staff and volunteers will make every attempt to contact me as soon as possible if an emergency arises. If I cannot be reached I give St. John's staff and volunteers authorization to take my child to a doctor or hospital at my expense.
Please type your name below to indicate that you acknowledge and accept the above and then click submit to register.
Name of parent or guardian filling out registration
St. John's Church
1213 Washington Street
Genoa * Ohio * 43430
Church Phone: 419*855*3906
Nurturing Center Phone: 419*855*7158
Elderlife Phone: 419*855*7095