Vacation Bible School - August 3-7, 2015

Vacation Bible School - August 3-7, 2015 - 9:00am to 12:00noon

Come join us as we sail to a tropical island and discover some of the incredible promises of God. Grab your lei and spirit of adventure and… Join the fun!
This is open to ages 4 through completion of grade 5. Plus a mommy & me group for toddlers under 4.

Please fillout the form below and submit to register for the VBS. Please register each child in a separate form. All fields marked with a asterisk are required. Contact: vbs.ccla@gmail.com
Child's Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Male or Female:*
Age:*
School Grade Just Completed:*
Parent's Name:*
Home Church:*
E-mail:*
T-Shirt Size:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
YESNO
Comments:
Should be Empty:

Vacation Bible School - August 3-7, 2015 - 9:00am to 12:00noon