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Participant Registration
WELCOME NOTE: Thank you for registering for 2026 Vacation Bible School. The action takes place each evening at 5:30-8:30 p.m. on July 6-10 for children 4 years - completed 5th grade. When you arrive on July 06, come inside the Grace Children's Center gym to pick up your child's Name Tag and Pick-up Authorization Tag which will be used to pick up your child each evening. Your child will then proceed to the Grace Worship Center for our Rally Time. T-shirts will be available for purchase at the shirt table - Worship Center Hallway. Please Note: Students will have their own Bible study and activities called "X Week" for completed 6th - 12th grades in the Student Center. Please register for X-Week using the Participant Registration Form below. Excitement and adventure awaits everyone who desires to learn more about Jesus this week. See you July 06! Garry Irvin - Children's Pastor Email: kidsok@hotmail.com
*Parent/Guardian Name:  __________________________________
*Participant's First Name:  __________________________________
*Participant's Last Name:  __________________________________
*Address:  __________________________________
*City:  __________________________________
*State:  __________________________________
*Zip:  __________________________________
Email:  __________________________________
*Birthday:  __________________________________
*Gender:  Male  Female  (circle one)
*Cell Phone:  (______)______-________
Home Phone:  (______)______-________
*Need transportation?:    Yes
   No  (circle one)
By marking "yes" above, you as parent/legal guardian, are giving permission for the van to pick up the above listed child even though you may not be with them. The following rules are required for the safety of your child and others: 1. All riders must remain in their seats with seat belts fastened at all times. 2. Hands and other extremities must remain inside the van windows. 3. No person may move around during the ride until instructed by the driver/assistant or until the van comes to a complete stop. 4. At all times while under the supervision of the driver/assistant/or church leadership, riders shall obey their instructions without exception. In the event the van driver determines that a child is not following the rules and has been given ample warnings to improve his/her behavior, the child will lose riding privileges. Van transportation is available in most areas of Tullahoma for boys and girls that have completed kindergarten through the 12th grade in school.
*Last Grade Completed:  __________________________________
*Emergency Contact Name (1):  __________________________________
*Emergency Contact Phone (1):  (______)______-________
Emergency Contact Name (2):  __________________________________
Emergency Contact Phone (2):  (______)______-________
*Authorized Pickup #1:  __________________________________
Authorized Pickup #2:  __________________________________
*Do you attend church?:    Yes
   No  (circle one)
If so, where?:  __________________________________
Comments:
Allergies, Medical, & Special Needs:
Preschool Classmate Request:  __________________________________
Guest of:  __________________________________
* Required