Rock Breaker Beach • Crosspoint Church

Kids will be challenged as they discover that God’s truth never changes, everyone needs Jesus, and learn to speak the truth in love. Adventure awaits each day as kids explore tide pools, spot orcas, fly kites, and watch the mighty waves crash up against the immovable Breaker Rock!

Date & Time

July 15, 2024 6:00 PM - July 19, 2024 8:30 PM

78 out of 100 remaining tickets available

Type

Quantity

K

20 Remaining

Quantity
1st - 2nd Grade

20 Remaining

Quantity
3rd - 4th Grade

16 Remaining

Quantity
5th - 6th Grade

22 Remaining

Quantity

Applying discount...

K 0

VBS Child Registration

Preferred Name

Date of Birth

Gender

School Grade Completed

Video/Photograph Permission

May we have permission to video/photograph your child (photos/videos may be used on Crosspoint social media accounts or website?

Photo/Video Permission *

Yes

Photo/Video for promotional purposes

Yes

Health/Medical

Please List any Allergies or assistance that my be needed (including food)

Does child need assistance when being a part of a group?

Church Home

Do you attend church anywhere *

Yes

If yes, Where? *

Parent/Guardian Contact

Description

First Name *

Email Address *

Home Address *

Home State *

Last Name *

Mobile Number *

Home City *

Home Zip Code *

Emergency Contact

other than the Parent/Guardian listed above

Name

Phone Number

1st - 2nd Grade 0

VBS Child Registration

Preferred Name

Date of Birth

Gender

School Grade Completed

Video/Photograph Permission

May we have permission to video/photograph your child (photos/videos may be used on Crosspoint social media accounts or website?

Photo/Video Permission *

Yes

Photo/Video for promotional purposes

Yes

Health/Medical

Please List any Allergies or assistance that my be needed (including food)

Does child need assistance when being a part of a group?

Church Home

Do you attend church anywhere *

Yes

If yes, Where? *

Parent/Guardian Contact

Description

First Name *

Email Address *

Home Address *

Home State *

Last Name *

Mobile Number *

Home City *

Home Zip Code *

Emergency Contact

other than the Parent/Guardian listed above

Name

Phone Number

3rd - 4th Grade 0

VBS Child Registration

Preferred Name

Date of Birth

Gender

School Grade Completed

Video/Photograph Permission

May we have permission to video/photograph your child (photos/videos may be used on Crosspoint social media accounts or website?

Photo/Video Permission *

Yes

Photo/Video for promotional purposes

Yes

Health/Medical

Please List any Allergies or assistance that my be needed (including food)

Does child need assistance when being a part of a group?

Church Home

Do you attend church anywhere *

Yes

If yes, Where? *

Parent/Guardian Contact

Description

First Name *

Email Address *

Home Address *

Home State *

Last Name *

Mobile Number *

Home City *

Home Zip Code *

Emergency Contact

other than the Parent/Guardian listed above

Name

Phone Number

5th - 6th Grade 0

VBS Child Registration

Preferred Name

Date of Birth

Gender

School Grade Completed

Video/Photograph Permission

May we have permission to video/photograph your child (photos/videos may be used on Crosspoint social media accounts or website?

Photo/Video Permission *

Yes

Photo/Video for promotional purposes

Yes

Health/Medical

Please List any Allergies or assistance that my be needed (including food)

Does child need assistance when being a part of a group?

Church Home

Do you attend church anywhere *

Yes

If yes, Where? *

Parent/Guardian Contact

Description

First Name *

Email Address *

Home Address *

Home State *

Last Name *

Mobile Number *

Home City *

Home Zip Code *

Emergency Contact

other than the Parent/Guardian listed above

Name

Phone Number