Vacation Bible School Registration Form
This year's VBS @ Jenison Bible Church

will be June 17-21, 2019 -- 9:00 AM - 12:00 PM

For children entering 1st-6th Grades in the fall.

Pre-registration closes at midnight. Monday, June 10.

You can still register on the day of VBS.

Contact us at

Please note - there will be a snack provided, which will not contain nuts. If there are any other allergic concerns, please plan to have your child bring a snack.

Please fill out a separate form for each child.

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Grade Entering in the Fall *
Child's Birthday *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Contact Phone *
Your answer
Gender *
Parent(s) Name(s) *
Your answer
Is anyone besides above-mentioned parent(s) allowed to pick up child?
Your answer
Medical Concerns?
Your answer
Other Comments
Your answer
How did you hear about our VBS?
Does your family have a regular church home? *
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