Summer Break Away: VBS Registration 2025

Tuesday-Friday, July 22-25, 9am-12pm

FREE! Ages Preschool - 5th grade

This summer, sign your kids up for four days of snow-packed adventure in Alaska's wild north! Summer Breakaway:VBS is packed full of excitement, wonder and most importantly Jesus! Your kids will have a blast with Bible adventures, games, music, treats, crafts and so much more!

Note: Child must be potty trained to attend this event.

Real Life Foursquare
1801 Daniels St. Vancouver WA, 98660

If you have any questions about this event, email Hannnah Kriss at hannah@reallifefoursquare.com

Parent Information

Name

This address will receive a confirmation email

Phone

Address

Home Church

Child #1 Information

First and Last Name

Age

Birthday

Gender Male Female

Grade Entering Fall 2023

Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Pickup Parent

Pick Up Parent Phone

Food allergies

Does this child have any special or ADA needs that we can assist with?

Friend my child would like to be placed with:

Child #2 Information

First and Last Name

Age

Birthday

Gender Male Female

Grade Entering Fall 2023 Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Pickup Parent

Food allergies

Does this child have any special or ADA needs that we can assist with?

Friend my child would like to be placed with:

Child #3 Information

First and Last Name

Age

Birthday

Gender Male Female

Grade Entering Fall 2023 Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade

Pickup Parent

Food allergies

Does this child have any special or ADA needs that we can assist with?

Friend my child would like to be placed with:

If you have more than three children being registered for VBS, please go back and start another registration form for them. Thank you!

Summer Break Away: VBS Registration 2025

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