WINTER WEEKEND VBS

Candy Factory VBS by Valley Kids will take place Friday and Saturday, January 29-30 from 6:00-8:15pm & January 31 at 10 am. This year's VBS has something for everyone!

Join us at Valley Mills Christian Church (5555 Kentucky Avenue, Indianapolis). Children who are 3 years old (and potty trained) by January 1st through those entering 6th grade may register. There is no charge for VBS, but donations are welcome to help offset the costs of programming. Contact the church office at 317-856-3766 if you need registration help.

NOTE: Please see more important details for Winter Weekend VBS in your confirmation email you'll receive after registering your child.

You may register up to 4 children per form.

Child 1 name (first and last)

Child 1 grade or age if not in school

Child 1 date of birth

Any special needs or accommodation(s) for the child/children (please include food allergies):

Child 2 name (first and last)

Child 2 grade or age if not in school

Child 2 date of birth

Any special needs or accommodation(s) for the child/children (please include food allergies):

Child 3 name (first and last)

Child 3 grade or age if not in school

Child 3 date of birth

Any special needs or accommodation(s) for the child/children (please include food allergies):

Child 4 (first and last)

Child 4 grade or age if not in school

Child 4 date of birth

We group children by preschool-K and Elementary. If you have children that fit in the same age group, do you wish to have your child with their sibling?

Yes No My child does not have a sibling My children are not in the same age group

Is there any other child that will be attending that you wish for your child to be with?

Any special needs or accommodation(s) for the child/children (please include food allergies):

Parent(s)/Guardian name(s)

This address will receive a confirmation email

Mobile Phone

Address

MEDICAL RELEASE: I, the undersigned parent or guardian of the above noted minor(s), do hereby authorize adult workers with Valley Mills Christian Church to consent to any examination, x-ray, anesthetic, medical or surgical diagnosis or treatment and hospital care which is rendered under supervision of any physician or surgeon licensed under the provisions of the Medical Practice Act on the medical staff of a licensed hospital, whether such diagnosis or treatment is rendered at the office of said physician or at said hospital. Further, as a parent or guardian of the minor(s) named above, I do hereby expressly consent that my son/daughter may receive emergency medical treatment from any physician, hospital, or other medical center without the necessity of first notifying me, and do further agree to hold blameless any physician, hospital, or other medical center for regarding such services. If my son/daughter is feeling ill or are showing ANY signs or symptoms of sickness, they will not attend this event. I also acknowledge that my son/daughter may have a temperature screening prior to and/or during this event. I agree to hold harmless Valley Mills Christian Church (staff and volunteers) from and against any and all costs, expenses, damages, lawsuits, and/or liabilities or claims arising whether directly or indirectly from or related to any and all claims made by or against any of the released party due to injury, loss or death from or related to COVID-19. My electronic signature confirms that I hereby give witness to the proper completion of this form by the minor's parent or guardian.

PHOTO RELEASE: I understand that photos and video of each event may be taken to further promote future activities for Valley Mills Christian Church. By signing your electronic signature below you grant permission for the image, photo, video, or likeness of those named to be used by Valley Mills Christian Church and posted on the church website or other social media accounts.

Emergency Contact Name:

Emergency Contact Phone Number:

List all names of those authorized to pick up your child(ren):

SATURDAY, JANUARY 30: 6:15-8:00 PM

We look forward to a special night for parents on Saturday, January 30! Special guest speakers Ben and Crystal Woods will join us for a time of faith encouragement focused on intentional parenting.

While your kids participate in VBS, join us for encouragement, connect with other parents, and enjoy some snacks, too!

Will you be attending this special Saturday event for parents?

Yes, I plan to attend No

How many adults will be attending?

SUNDAY, JANUARY 31: 10 AM SUNDAY SERVICE AND CALLA'S SLIME SHOP PROJECT FOLLOWING THE 10 AM SERVICE

Sunday, January 31 will be a special day where the kids will perform the songs from VBS during the 10 AM service and Ben Woods from Look Out For The Left Out will share a special message.

Following the 10 AM Service, everyone is invited for a free lunch and a special service project called Calla's Slime Shop Project! You can CLICK HERE to read more about Calla's Slime Shop.

CLICK HERE to register your family for lunch and for Calla's Slime Shop Project.

Our Winter VBS Mission offering will be going to our guest speakers, Ben and Crystal Woods and their ministry Look Out For The Left Out. You can read more about Ben and Crystal's Ministry by CLICKING HERE!

Optional VBS Mission Donation

How did you hear about our VBS?

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

January 29-30 from 6:00-8:15 pm and January 31 at 10 AM

Candy Factory: Winter Weekend VBS

WINTER WEEKEND VBS

Description

Please Fix the Following