Fun Factory VBS 2017 Registration Form Fun Factory VBS 2017 Sign Up to come to Fun Factory VBS July 17-21, 2017 Cost: $20 per child $50 max per family Please make check payable to Woodstown Presbyterian Church and write VBS on the memo line. Send payment to: Woodstown Presbyterian Church Jodi Fox 46 Auburn Rd Woodstown, NJ 08098 General InformationChild Last Name*Child First Name*What name would you like on your name tag?*Parent/Guardian Name*Email* Grade Entering in Fall 2017*A Preschool 3 years oldB Preschool 4 years oldC KindergartenD First GradeE Second GradeF Third GradeG Fourth GradeH Fifth GradeContact Phone 1*Contact Phone 2Emergency Contact Name and Relationship*Emergency Contact Number*Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Child Shirt Size (You will get a t-shirt if you register by July 1)*Child SChild MChild LChild XLAdult SAdult MAdult LAdult XLAllergies or Food Restrictions (Please explain)Do you have a friend that you would like to be in the same group?Additional CommentsMedia ReleasePlease check how we can use your child's pictures and videos* WPC can post pictures or videos on social media sites such as Facebook or the church Website. Please ask before posting pictures of my children on social media. We will take pictures during VBS for use in our church. This may be in print or for a slideshow/video. Large groups (over 20 children in picture) may be used on Facebook or our church website. By checking the first box, you are giving permission for us to post pictures (1-5 children) on our web pages without asking you first.