Vacation Bible School

VBS Registration

Please complete the form below and click the Submit Button at the bottom of the page to register each of your children for Vacation Bible School. Please include your email address if you would like to receive a verification from the church office.

 

Child's Name (required)

Child's Age (required)

Child's Grade that was completed

Parent/Guardian Name (required)

Home Address (required)

Home Phone Number

Mobile Phone Number

Alternate Phone Number

Email Address

Emergency Contact Name (other than listed above)

Emergency Contact Phone Number

Special instructions or information (food or drug allergies, asthma or any other medical or emotional conditions) we should know about.

We love carpooling but for your child’s safety, your child will not be allowed to leave with anyone that has not been listed below.
List any other adults who have permission to take your child home.

Other Adult

Other Adult

Other Adult

If you are interested in other children’s events, what is the best way for us to inform you?
PhoneTextMailE-Mail

If you regularly attend a church, please tell us your Church's Name