vbs 2024 registration

Join us for Vacation Bible School on June 10th-12th (Monday-Wednesday) from 6-8:30pm each evening!!!

BELOW IS A REGISTRATION FORM REQUIRED FOR EACH CHILD THAT WILL ATTEND.

PLEASE FILL OUT A REGISTRATION FORM FOR EACH CHILD THAT PLAN ON ATTENDING. (MUST HAVE JUST FINISHED GRADES K-5)

Child's Name

First Name

Last Name

Parent's Name

First Name

Last Name

Parent's Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Birthday (##/##/####)

Grade Just Completed (K-5)

Emergency Contact (other than listed above)

Any Medical Conditions/Allergies We Need To Be Aware Of?

Who May Pick Up Your Child at The End Of Each Day?

Do You And Your Family Attend Church Anywhere?

If So, Where?