i-registration (online registration)
Adventure's Last Name *

Adventure's First Name  *

Adventure's Primary Address (street)  *

Adventure's City and State  *

Adventure's Zip Code*

Parent's Home Phone 

Parent's Cell Phone

Adventure's e-mail address (optional)

Parents e-mail address (optional)

Parent or Gaurdian Name *

People that we can expect to be picking up your Adventurer 

***Note****  Other than parents and people listed above, we will not be letting your child go at the end of VBS each night without an approved name.  If you have not included a name on this list that will be picking your child up on a certain night, please make sure that the Director of VBS at CPC is aware of who will be picking your Adventurer up that particular night.  Saftey for your child is important to us.
Name of Emergency Contact *

Phone of Emergency Contact where they can be reached best *

We will be taking candid photograph pictures of your Adventurer throughout the week of the various activities that they will take part in.  We then upload them to a password protected website.  The password will be given to you on the first day of VBS.  With your permission we would like to include your Adventurer in our photo album. If this is acceptable please check 'yes'.  If unacceptable, please check 'no'. 
YES
NO