VBS Pre-Registration Form

VBS | Kids Camp ÃÆ'Æ'Ã'Ã'¢ÃÆ'Ã'¢'Ã'Ã'¬

2023 VBS

Wilderness Escape: "Where God Guides & Provides!"

Join The Journey!

Date: June 25th - 28th 

Time: 6:00 PM - 8:30 PM

For Ages: 3 years to 12 years



Child's' Name: 


Childs Age:   Childs Grade in Fall 2023:


Parents Names: 




City:  Zip:  E-mail:


Phone:  Work:  Cell:


Emergency Contact Person:


Emergency Contacts Phone:   Emergency Contacts Cell:


Church membership at:


Please list any medical/health conditions or allergies that we should be aware of:

Video/Photo & Activities Release: I hereby grant the VBS leaders permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program. I also grant permission for my child to participate in the fitness activities each night.

Signature of Parent or Guardian:  Date:

Fill Out Form And Print To Turn In:

Fill Out Form & Submit To VBS Director:


If you have any questions please e-mail Rev. Ellen Broome:

© 2013 - 2024 Church Of The Nazarene, Winnsboro, SC - All Rights Reserved.