Wellsboro Area VBS presents - Breaker Rock Beach

Child's First Name

Child's Last Name

Child's Age

Child's Date of Birth

Child's Gender

Are there any allergies or medical conditions we should be aware of?

Parent's/Guardian's Full Name

This address will receive a confirmation email

Mobile Phone

Home Phone

Address

Family Church Affilitation (if applicable)

The Wellsboro Area Vacation Bible School is a volunteer group from several area churches. Efforts are made to ensure the safety and security of the volunteers and attendees. Children who are disrespectful, disobey rules, or contribute to a dangerous environment may be asked to leave with their parents.

As the parent/guardian of the registered minor, I release from liability the Wellsboro Area Vacation Bible School, participating churches and any of its ministries or leaders in the event of an accident in route, during and returning from the above mentioned event. This agreement does not apply to claims for intentional misconduct or gross negligence.

I agree to the above waiver.

Yes

May we have permission to photograph your child to promote Wellsboro Area VBS? (We will not include your child's name.)

Yes No

Description

PREREGISTRATION HAS ENDED. PLEASE REGISTER ON THE GREEN STARTING AT 5:30PM ON 6/17. Welcome to the Wellsboro Area VBS Registration Breaker Rock Beach Vacation Bible School. Our goal is to provide a safe, fun, exciting week for children to play, sing and learn the gospel of Jesus Christ. This is a free event organized each year by community churches for the children of Tioga County.

Breaker Beach VBS will be held Monday through Friday, June 17-21, 2024, beginning at 6pm on The Green in Wellsboro and ending at 8pm.

Please register each child you are bringing to VBS separately. We need one record per child so we can place them in an age appropriate group. Please contact us by email if your child has special requirements you want us to be aware of.

All children ages 4-12 are welcome. Breaker Beach VBS is FREE and twice the fun when children attend with their friends. So invite a friend!

Wellsboro Area VBS presents - Breaker Rock Beach

Description

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