Kidventures is a joint activity of these Menomonie churches:
United Methodist Church, 2703 Bongey Drive (235-0654),
1st Congregational United Church of Christ, 420 Wilson Ave (Nita Fitzgerald;
235-5838)
Peace Lutheran Church, 917 7th (Heather Oberdeck; 235-2500)
Grace Episcopal, E4357 451st Ave (Bill Broughton: (715) 235-7072)
The community is invited to join us!
July 20, 21, 22 & 23
5 PM to 8:15 PM nightly
Monday: Ropes Course (1st Cong.-UCC)
Tuesday: Creek Walk (Grace Episcopal)
Wednesday: Canoing (United Methodist)
Thursday: Hoffman Hills (Peace Lutheran)
Kidventures is for kids going into grades 4 through 8.
The cost for the entire set of activities is $25 per child. or $10/night
Each night includes transportation, supper, activity and a faith lesson.
If you are unable to pay the entire cost, please contribute what your are able.
Make checks payable to one of the churches named above; memo: Kidventures.
Please register using the form below by Sunday, June 29th.
Note: All Chaperones will review & sign a “Safe Child Agreement” and have a WI
Records Check.
Kidventures!
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Kidventures Registration Form
Please clip & return to one of the contact people at a church listed above by
July 1st!
Name & age of Child(ren):
__________________________________________________________
Parent(s) Name & Phone:
__________________________________________________________
My child plans to attend these nights: [ ] Monday [ ] Tuesday [ ] Wednesday [ ]
Thursday
Enclosed is $25 per child X ____# of children or my donation of $ ____________.
I give my permission for my child(ren) listed above to be transported by staff
or volunteers from the
sponsoring churches. I give permission for full participation of my child(ren)
taking into account special
needs listed on the back of this form (dietary, physical limits, behavioral,
etc.).
Signed by parent/guardian: _____________________________________ Date:
___________
“Water
U Doing”
VBS
2009
for
Preschool (4 yrs)thru Grade 5
Student
Registration
August
3-6, 2009
Registration due by July 1
Child’s Name:______________________________
Age: _______ Birth Date: _____/_____/_______
Grade entering (circle): K 1 2
3 4 5
M or F (circle)
Parent/Guardian
Name:______________________________________
Address:_________________________________________
City/State/Zip:________________________________________
Phone: (______)____________________________
E-Mail: ___________________________________
Allergies (food/medication):
__________________________________________
__________________________________________
Special Needs/Instructions:
__________________________________________
__________________________________________
If parents
and grandparents would like to watch their “star of the sea”
perform songs from VBS, please come on Thursday, August 6 at
10:30AM to discover God’s wonders through song from the “Great
Bible Reef” adventure!
HEALTH
INSURANCE INFORMATION
Insurance Company Name:
__________________________________________
Policy Number:____________________________
I authorize ________________________ to
participate in the Peace VBS 2009 located at Peace Lutheran
Church. I authorize emergency treatment for this child provided
that I cannot be reached.
____I give permission for my child to be
videoed/photographed for use only by Peace Lutheran.
Parent/Guardian Signature:
________________________________________
Phone: (_____)_____________________________
Child attends:
____ Peace Lutheran Church
____ Other
church:__________________________
____ Guest
of:______________________________
REGISTRATION FEE: $10/child and $30 family maximum
For office
use only:
Amount Paid: $___________________
Scholarship Contribution: $___________________
cash_____ check # ______
No one
shall be prevented from attending VBS due to financial reasons.
Confidential assistance is available. Please talk to your
pastor.
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