Vacation Bible School


Come join an island adventure at Reality Church Stockton’s annual Vacation Bible School. Each night will include skits, music, snacks, and activities. Please pre-register below.

Cost: Free

When: June 20-23
6:00 pm – 8:00pm

Where: Reality Church Stockton
235 N San Joaquin Street

Who: Ages 4-12 years

If you have questions contact [email protected]

Sign-Up


Family Information:

Child Information:
Child #1

  1. Date of Birth *

Child #2

  1. Date of Birth

Child #3

  1. Date of Birth

Insurance Information

Emergency Contact (Other Than Parent):

Medical Release

For all activities sponsored by Reality Church Stockton from June 20 through June 23 2017

The undersigned, parent/legal guardian of (minor), herein authorize the adult sponsor of Reality Church Stockton for the stated activity(ies) or any responsible adult person bearing this written authorization, into whose said care the above mentioned minor child has been entrusted to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care to be rendered to said minor under the general or special supervision and upon the advice of a physician and surgeon licensed under the provisions of the California Family Code.

It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital care being required, but is given to provide authority and power on the part of said adult person to give specific consent to any and all such diagnosis, treatment or hospital care which the aforementioned physician or dentist in the exercise of his best judgement may deem advisable.

This authorization will be begin on June 20, 2017 and will remain in effect until 12:01 AM on June 23, 2017 unless sooner revoked in writing and delivered to the adult sponsor.

Electronic Parent or Guardian Consent

Checking this box on this Medical Release Form constitutes my permission for the above named minor to participate.