Polar Blast VBSDaily, from 06/25/2018 to 06/29/2018, 9:00 AM - 11:30 AM Location: Second Reformed Church, 703 14th Ave, Fulton, IL US 61252Coordinator: Laura Wessels Polar Blast VBS June 25 - 29 9-11:30 am Registration Form VBS 2018 Registration 1st Child's Name* Grade entering in the fall* Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 2nd Child's Name Grade entering in the fall Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 3rd Child's Name Grade entering in the fall Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Parents' / Guardians' Names* Address* , AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Phone*( ) - Additional Phone( ) - Email* In Case of Emergency Contact Info* Allergies or Medical Conditions (list N/A if none)* Home Church* How did you hear about VBS at Second? * Poster Postcard Church Sign Bank Sign Friend Word of Mouth Other By clicking yes to this button you as a parent and / or guardian give permission for Second Reformed Church to use your child's picture in VBS publicity, including the Internet. * Yes No Parental and / or guardian signature. This signature will indicate permission for Second Reformed Church to use my child's picture in VBS publicity, including the Internet* Please leave this field blank. Add to Calendar