Vacation Bible School Registration

PLEASE COMPLETE ALL FIELDS BEFORE SUBMITTING

Child's Name and Last Grade Completed *

Child's Name and Last Grade Completed

Parent/ Guardian's Name: *

Mailing Address: *

City: *

Zip: *

Contact Phone: *

E-mail:

Emergency Contact Name and Phone: *

Medical, emotional, food allergy or other information so we may better care for your child. *

Please list who may pick up your child at the end of each VBS day? *

Do you attend church? *

If you attend church, Where do you attend? *

General photography is taken during VBS. Photos are for celebration and promotional purposes only. May we photograph your child? *

Enter the text you see in the security image:

Have a question?