Summer Bible School Sign Up 240 S Oak St, Ephrata, PA 17522 June 23rd - 27th 6:30 pm - 8:30 pm Name of Parent/Guardian *Parent/Guardian Phone *Email AddressName of Emergency Contact *Emergency Contact Phone *Children InfoChild's Name *Which class will your child be attending? *Please select an optionNursery (2 Years Old)Preschool A (3 Years Old)Preschool B (4 Years Old)Kindergarten A (5 Years Old)Kindergarten B (Went to Kindergarten Already)1st Grade2nd Grade3rd Grade4th Grade5th Grade6th - 8th Girls6th - 8th BoysChoose the grade level they previously completed.Does the child have any medical concerns or allergies? *Waiver of ResponsibilityI give afore mentioned child/ren permission to participate in this program. The leaders will not be held responsible for any injuries, etc. By submitting this form and typing my name below, I am giving full permission to my child/ren to attend and the leaders at Cornerstone Mennonite Fellowship to care for and teach my child/ren.Permission to Leave the Church PremisesThe 6-8th grade classes may leave the church premises for the purposes of work projects or special trips. By signing below you are giving consent for your child to be transported to an off-site location. You will not hold Cornerstone Mennonite Fellowship responsible for accidental injuries due to travel, work projects, or any other reason.Signature *Start signing your signature hereYour browser does not support e-Signature field. SubmitPlease do not fill in this field.
