VBS 2023 - Intersect Registration Form


VBS 2023 Intersect Registration

VBS 2023, READY, SET, MOVE!, is June 12-15! Get ready to move with us on a journey into the best week of the summer... Follow Jesus here, there, and everywhere!

Intersect is the component of VBS for students just entering 5th or 6th grade in the Fall of 2023. Intersect begins and ends each day in the Sanctuary. In between, Intersect students will meet together to experience engaging messages, unforgettable music, powerful worship, delicious snacks, super fun games, and small group time.

Please complete and submit the form below to register your child. Please complete one form for each child. Once your form has been submitted, you will receive confirmation on the screen and via email that it has been sent to our Children's Ministries office.

NOTE: This form is only for kids entering 5th or 6th grade in the Fall of 2023.
Please enter your information EXACTLY as you want it to appear on your name tag and mailings (please don't use all CAPS or all lowercase).

First Name:    *   Gender:    *
Last Name:    *   Grade Fall 2023:    *
Birthdate:   // *   Name of School:    *
Parent/Guardian:    *   (no abbreviations)
Address:    *
City:    *   Zip Code:    *
Home Phone:    *   Work Phone:  
Cell Phone:    *   Alt. Phone:  
Parent Email Address:    *
Member of Grace:   Yes    No  *     Other Church?
Continuing Visitor?        Only Attending VBS?       Want more information about Grace? 
Who will pick up?    *   Phone  *(please include anyone who may need to pick up your child)
Place with (limit 1):  (must be in the same age group)
NOTE: Enter the name of another child you would like your child to be crewed with. Registrars will make every effort to accommodate this request.
Due to crew size, we may not be able to fulfill all requests.
I am interested in volunteering. Please send me more information:  Yes    No
I am willing to donate supplies and/or food to help with VBS.  Yes    No   

  In case of emergency, I give my permission to the sponsoring adults of Grace Presbyterian Church's Vacation Bible School to make all health care decisions for my child that I could make myself, if present. I also release Grace Presbyterian Church and all persons participating in the VBS from any and all liability. I understand that my child may be photographed or videotaped for use in Grace Presbyterian Church evangelism materials, including our Grace Presbyterian website. My submission of this form signifies my consent.
Emergency contact person & phone:  *
Parent Volunteer Location During VBS (if applicable):
Medical Information/Intolerances/Allergies   (leave blank if None)

* indicates a required item

For more information, contact Children's Ministries at vbs@gpch.org or 713-267-5065.