1700 Napa Valley Drive - Little Rock, AR, 72212
Office (501) 225-9231
About Us
Guest Info
Our Beliefs
Our History
Meet our Staff
Map and Directions
Building Map
Contact Us
Job Opportunities
Ministries
Mission and Outreach
Asbury Christian Child Development Center
Children’s Ministry
Student Ministries
Young Adult Ministry
Adult Ministry
Music Ministries
Member Resources
Donate
Ministry Teams
Sunday Servant Schedule
Forms
Directory
Events / Media
Sermon Audio/Visual
Calendar
Weekly Bulletins
Blog
Archives
June 2019
(28)
May 2019
(30)
April 2019
(31)
March 2019
(28)
February 2019
(26)
January 2019
(28)
December 2018
(25)
November 2018
(26)
October 2018
(32)
September 2018
(24)
August 2018
(30)
July 2018
(28)
June 2018
(25)
May 2018
(32)
April 2018
(33)
March 2018
(22)
February 2018
(27)
January 2018
(27)
December 2017
(20)
November 2017
(43)
October 2017
(17)
September 2017
(29)
August 2017
(31)
July 2017
(31)
June 2017
(28)
May 2017
(18)
April 2017
(29)
March 2017
(26)
February 2017
(26)
January 2017
(32)
December 2016
(27)
November 2016
(30)
October 2016
(29)
September 2016
(29)
August 2016
(29)
July 2016
(29)
June 2016
(26)
May 2016
(26)
April 2016
(28)
March 2016
(23)
February 2016
(28)
January 2016
(26)
December 2015
(24)
November 2015
(23)
October 2015
(25)
September 2015
(19)
August 2015
(23)
July 2015
(25)
June 2015
(21)
May 2015
(23)
April 2015
(30)
March 2015
(29)
February 2015
(25)
January 2015
(26)
December 2014
(19)
November 2014
(24)
October 2014
(28)
September 2014
(25)
August 2014
(29)
July 2014
(32)
June 2014
(4)
May 2014
(2)
April 2014
(1)
Search our Website
Search for:
Latest Blog Posts
June 28
June 28, 2019
June 27
June 28, 2019
June 26
June 28, 2019
Upcoming Events
ACCDC 2019/2020 Classes
When: Thursday, December 12, 2019 from 7:30 AM to 5:30 PM
Where: Room 216 ACCDC Office
ACCDC Board Meeting
When: Thursday, December 12, 2019 from 6:00 PM to 7:30 PM
Where: Room 123 Large Conference Room
ACCDC 2019/2020 Classes
When: Friday, December 13, 2019 from 7:30 AM to 5:30 PM
Where: Room 216 ACCDC Office
View All Events ›
Uncategorized
VBS Registration 2016
Posted April 27, 2016 by Amy Bennett
Vacation Bible School Registration
6:00 pm to 8:30 pm (Snacks will be provided) Age 4, as of 6/2/19, through 5th Grade Cost is free!
Child's Name
*
First
Last
Date of birth
*
Gender
*
Female
Male
Grade Completed
Preschool (Age 4 & 5)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Parent's Name(s)
*
Preferred Phone
*
Cell Phone
In case of emergency, please provide cell number. Thank you.
Address
*
Street Address
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Preferred Email
*
Church Home (If applicable)
Emergency Contact
*
First
Last
If you are unable to be reached, who should we call during VBS hours?
Emergency Contact Primary Phone (Cell, Home, etc)
*
Provide number which best to reach emergency contact.
Secondary Phone (Cell, home, etc)
*
Provide a back up number to reach emergency contact
Names of individuals allowed to pick up child from VBS:
*
Food Allergies?
*
Yes
None known
Please list allergies:
*
Medical Needs
*
Yes
None
What medical needs does you child have?
One friend your child would like to be grouped with (If applicable)
Would you like to volunteer?
Yes
No
What would you like to do?
*
Be a Center Leader/Helper
Be a Guide
Will you need childcare?
Yes
No
Media Release
*
I give permission to Asbury UMC to use any photographs or video taken of my child on their website or any future Asbury publications.
I DO NOT give permission to Asbury UMC to use any photographs or video taken of my child on their website or any future Asbury publications.
Name
This field is for validation purposes and should be left unchanged.
Share this:
Leave a Comment
Click here to cancel reply.
Name (required)
Mail (will not be published) (required)
Website