VACATION BIBLE SCHOOL
June 24-28, 2019
9:30 -12:30
REGISTRATION: 4 years (by 9-1-19) through rising 6th Graders

Registration cost is $15 per child and includes your child's VBS t-shirt and sing-along CD. To pay your registration fee go to https://www.eservicepayments.com/cgi-bin/Vanco_ver3.vps?appver3=Fi1giPL8kwX_Oe1AO50jRtT0At-nSbNYXuQ08McJQoPHO3iVYxvvxhHjRfLOeq662EvVVAEjqawDomKT1pbouVeXS0qcghiZp7B4J9hFY-w=. This will take you to our church online payment form. You will see a white box titled, "Vacation Bible School." Enter 15.00 as your total for 1 child, 30.00 for two children, 45.00 for three or more children and choose frequency of "one time." Click continue and you can enter your card information there.

Registration and payment must be made in order to secure your child's place.

Email address *
Child's First Name: *
Your answer
Child's Date of Birth: *
MM
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DD
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YYYY
Child's Grade for 2019/20 school year *
Child's T-Shirt Size: *
Parent/Guardian 1 - First Name: *
Your answer
Parent/Guardian 1 - Last Name: *
Your answer
Parent/Guardian 1 - Phone Number: *
Your answer
Student Mailing Address including City State and Zip: *
Your answer
Family Primary Phone: *
Your answer
Parent/Guardian 2 - First Name:
Your answer
Parent/Guardian 2 - Last Name:
Your answer
Parent/Guardian 2 - Phone Number:
Your answer
Emergency Contact other than Parent/Guardians listed: *
Your answer
Emergency Contact Phone Number during VBS: *
Your answer
Relationship to Child: *
Your answer
Is there another child in the same grade that your child would like to be with? (we will do our best to accommodate requests)
Your answer
Does your child have any Special Needs/Allergies? Or is there information about your child that would be helpful to the teacher?
Your answer
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