VBS registration

Vacation Bible School Registration

Vacation Bible School will be held on Monday, July 15th through Thursday, July 18th, from 10-12:00noon, and is open to children ages 3-12. (We kindly ask that any children in attendance be potty trained). This form will complete your registration. You may complete it online or on the day of the event at the church.

* Indicates required field

Name (of parent or legal guardian) *

First

Last

Your street address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone (in case of emergency) *

Alternate Phone Number (in case we can't reach you) *

Emergency Contact *

First

Last

Please list the names and ages of each child in your party who will be attending. (One child per line, please) *

Person picking up your child? *

First

Last

Are there allergies, asthma, or other concerns of which we should be aware? *

Email *

Submit