Vacation Bible School

VACATION BIBLE SCHOOL

Tuesday, June 27-Thursday, June 29 (8:30-11:30)
VBS Registration

One form for EACH child. Please use PROPER CAPITALIZATION (upper and lower case letters)
Child's First Name
Enter the first name as you would like it printed on the child's name tag
Child's Last Name
Gender
Grade
T-Shirt Size
Address
Street Address
City
State
Zip Code
E-mail

Confirmation Email
Mother's Name
Mother's Mobile

Area CodePhone Number
Father's Mobile

Area CodePhone Number
Father's Name
Contact Person's Name and Phone Number (during camp hours)
Health - Physical limitations, medical conditions, allergies (including food), etc.

Other
Home Church Name

Other
How did you hear about the Vacation Bible School?

Other
By checking the box below, I am stating that I have read and understood the above statement, and that I agree with its terms. I also understand that checking the box below constitutes a legally-binding signature.
Your First & Last Name
PHOTOGRAPHY PERMISSION: In addition, the undersigned gives Vacation Bible School permission to photograph the child named above and to use those photos in print publications and websites (nametags with first names may be visible). I also understand that checking the box below constitutes a legally-binding signature.
Agree to Above Photography Statement
Days Your Child Will MISS
Other information you would like us to know?
Should be Empty:

VBS Registration