Registration for Shine VBS at Eastridge Baptist Church
Know the God who SHINES and give Him glory!

Times: July 15th-19th, 6pm-8:30pm
Location: 12520 SE 240th St, Kent, WA 98031
Cost: FREE
Ages: Children entering Kindergarten - 6th Grade

-Fill out the form below.
-If you have more than one child, the next page will allow you to register additional children
-If you intend to bring children as guests, there is a guest registration section after the Parental/Emergency Contact section

Thank you for joining us in our adventure this year! If you have any questions or concerns, you can contact Andrew Craig via email at, or 253-630-2327.

Child's First and Last Name *
Your answer
Child's Gender *
Birth Date *
Child's Age (On July 15th, 2019) *
School Grade (that the child WILL ENTER fall 2019) *
Please List Any Allergies/Medical Conditions
Your answer
Comments / Special Instructions
Your answer
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