Vacation Bible School Registration 2017
Vacation Bible School runs August 13-17 from 9am-12pm and is open to the community.

Please fill out a separate form for each child you are registering.

Child's Last Name *
Your answer
Child's First Name *
Your answer
Guardian's Name *
Your answer
Guardian's Email *
Your answer
Guardian's Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Emergency Contact Relationship to Child *
Your answer
Child's Age *
Your child's age at the time of VBS
Your answer
Grade *
The grade your child will be entering in the fall
Your answer
Allergies
Please list any allergies your child has that we should be aware of
Your answer
Is there anything else we should be aware of to help your child have a great experience?
Your answer
Are you a member of Good Shepherd? *
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