Children's Vacation Bible School (VBS) Registration Form
Please complete this form to sign your child up for VBS at Wyoming Valley Presbyterian Church for June 2021!

VBS will be held from 6:00 pm to 8:00 pm on June 22 (Tuesday), June 23 (Wednesday), and June 24 (Thursday).

Your child can attend 1, 2, or all 3 days. Select the days below.

Please submit ONE FORM PER CHILD.

If your child is too old to participate as a "camper" they can be Leaders in Training! Contact Amanda Demetros at for more information.
Email *
Child's Name (First and Last) *
Child's Birthdate *
Last School Grade Completed *
Child's Home Address *
Child's Food or Severe Allergies (Bees, peanuts, etc.) If none, write n/a. *
Primary Contact Person (Parent/Guardian 1): First & Last Name and Phone Number *
Secondary Contact Person (Parent/Guardian 2): First & Last Name and Phone Number *
Dates my child would like to attend VBS at Wyoming Valley Presbyterian Church. (Select all that apply.) *
VBS is a way to bring children together in a Christian community. We are asking for parents/guardians to volunteer some time helping us model that sense of community by donating their time or talents to our VBS program. Select an activity you would be willing to do. (Select all that apply.) *
Would you be interested in participating in an adult bible study in another room of the church while the children are participating in our VBS activities? *
A copy of your responses will be emailed to the address you provided.
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