VBS 2019 Registration

VACATION BIBLE SCHOOL 2021

Wednesdays: July 7, 14, 21, 28 & Aug 4
6 pm - 7:30 pm
* children who have completed kindergarten
through fifth grade

ONLINE REGISTRATION

Please complete one registration for each household/address and include specific information for each child at the child registration section (below). Feel free to use a second registration form if you have more than six children from the same household/address. BE SURE AND HIT THE SUBMIT BUTTON AT THE BOTTOM OF THE SCREEN AND LOOK FOR THE CONFIRMATION MESSAGE. (For a second registration form, refresh your browser, and the form will return.)

* Indicates required field

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Mailing Address (if different) *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone *

Mobile Phone *

Work Phone *

Email *

Authorized people who may pick up your child(ren) Name / Phone Number *

First Emergency Contact Name / Phone Number *

Second Emergency Contact Name / Phone Number *

Does your child(ren) attend Sunday School and/or Church each week? *

If so, which Church? *

May we have permission to photograph your child? *

May we have permission to use your child's photograph for the purpose of future promotion of our VBS? *

CHILD REGISTRATION

(1) Child's Name *

First

Last

(1) Child's Birthdate *

(1) Last Grade COMPLETED *

(1) Medical Information: (What do we need to know? Please include food allergies.) *

(2) Child's Name *

First

Last

(2) Child's Birthdate *

(2) Last Grade COMPLETED *

(2) Medical Information: (What do we need to know? Please include food allergies.) *

(3) Child's Name *

First

Last

(3) Child's Birthdate *

(3) Last Grade COMPLETED *

(3) Medical Information: (What do we need to know? Please include food allergies.) *

(4) Child's Name *

First

Last

(4) Child's Birthdate *

(4) Last Grade COMPLETED *

(4) Medical Information: (What do we need to know? Please include food allergies.) *

(5) Child's Name *

First

Last

(5) Child's Birthdate *

(5) Last Grade COMPLETED *

(5) Medical Information: (What do we need to know? Please include food allergies.) *

(6) Child's Name *

First

Last

(6) Child's Birthdate *

(6) Last Grade COMPLETED *

(6) Medical Information: (What do we need to know? Please include food allergies.) *

Comments *

Submit

VACATION BIBLE SCHOOL 2021

ONLINE REGISTRATION

CHILD REGISTRATION

CONTACT US