Forms

Galactic Starveyors VBS 2017 Registration
Up to 3 siblings living in the same household may be entered per form. For 4 or more or for siblings who do not live together, please fill out separate form.

Parent/Guardian Name:
Street Address:
City, State ZIP:
,
Preferred Phone Number:
Alternate Phone Number:
Email Address:
Does Your Family Addend NSCC?
Yes No
How Many Of Your Children Will Be Attending VBS?
Childs Name:
Nickname:
Grade Completed in June, 2017:
For possible art projects, what size T-shirt does your child wear?
Simple costumes will be provided and will remain the property of NSCC
Please List ALL Allergies, Including Dietary, Medical and Seasonal:
Please List ANY Medical Conditions:
Emergency Contact Name:
Other Than Parents Listed Above
Relationship To Child:
Cell Phone Number:
Second Emergency Contact Name:
Other Than Parents Listed Above
Relationship To Child:
Cell Phone Number:
Other Adults Authorized To Pick Up Child(ren):
Relationship To Child:
Cell Phone Number:
Other Adults Authorized To Pick Up Child(ren):
Relationship To Child:
Cell Phone Number:
Please Give Any Information That We Need To Know About Your Child(ren):
Do We Have Permission To Photograph And Video Tape Your Child)ren)?
All images are property of NSCC
YES NO


HOME ABOUT
Beliefs
Staff
Worship Times
Location
Contact
MEDIA
Social Media
Sermons
Photo Gallery
Videos
INVOLVED
Giving
Growth Tracks
Midweek
IgniteKids
FUEL Youth
ONE28 Men
BLOOM Ladies
Events
OUTREACH
VBS
MOPS
Helping Hands
Housing Shelter
Christmas Child
Sea Haven
Impact Ministry
 North Strand Community Church
2582 Mt. Zion Road
Little River, SC 29566

843-399-7729

All Copyright. North Strand Community Church
All Rights Reserved 
Bottom Logo