Child's Registration Form

I would love to register for VBS!

* Indicates required field

Child's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Special Concerns or additional information (including medical) *

Phone Number *

Date of Birth *

Grade just completed *

School attending this coming year *

Do you attend church? *

Yes No

If yes, name of church *

Do you have any food allergies? *

Yes No

If yes, please list them: *

Do you have any other allergies (bees, medicines)? *

Yes No

If yes, please list them: *

Submit

* If a child is shy or timid about coming to Vacation Bible School, a parent or older sibling is welcome to come along in his/her group to help out! We always appreciate volunteers. If this is your concern, we ask that you please fill out and submit the volunteer form.

I would love to register for VBS!

We Would Love to Have You Visit Soon!

Contact us:

Telephone

Sunday Morning