Child Information [Add Child] (4 max - select before filling out)
First Name:
Last Name:
Name child goes by (if different):
Birthdate (mm/dd/yyyy):
Last Grade Completed:	Not In SchoolPreschoolKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12Beyond HS
Medical Information (ie. allergies):

Adult Information
First Name:
Last Name:

General Information
Street Address:
Apt/Lot/Suite:
City:
Zip:
Phone:
Email:
Emergency Contact Name:
Emergency Contact Number:
Who will pick up your child/children?
How did you first hear about VBS?	Friend/FamilyStreet SignPostcardWebsiteOther
If 'other', please specify:
Do you attend church?	YesNo
If 'yes', where?

We will be taking pictures and video of the children during the week. These will be compiled on a disk and given to each family.

Yes, my child's image may be used in the pictures/videoNo, my child's image may NOT be used in the pictures/video

Any additional comments (multiple children, questions, etc.)?

* By clicking register below you are confirming your registration for VBS. If you have provided an email address above, you will receive a confirmation email.

Vacation Bible School (VBS) is coming to Hometown Novi!!!
You're invited to a five-day adventure you and your family will never forget!

Kick-Off Block Party: Sunday, June 27, 4pm - 8pm
Ages: Fun for the whole family!
Place: The Field
* Food. Games. Cotton Candy. Snow-Cones. Inflatables & More! *
Please bring your own lawn chairs and blankets

VBS: Monday through Thursday, June 28 - July 1, 6pm - 8:15pm
Ages: Preschool through Adult (Security will be provided for the children) Place: Clubehouse and Field (check in at The Field)

Contacts: Candice Tucker or Jon Hix
Questions: Call 248 - 349 - 5665, or email info@orchardhillsnovi.com

Please note this is a family-friendly and child-safe event. Alcohol and smoking are prohibited.