Kingdom Chronicles Vacation Bible School


Event Timing: June 6-10, 2016 6:00 PM - 8:15PM
Event Address: Waterman Bible Church - 500 S Birch, Waterman
Contact us at 815-264-3908

Please use the form below to register your child for our VBS! Please complete a separate form for each child registered.

Child's Name
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Grade Completed (as of May/June 2016)
Address
Your answer
Email Address
Your answer
Parents Name (s) and Best Phone# to Contact
Your answer
Name of Emergency Contact and Phone Number
Your answer
Name of Home Church
Your answer
My Child is a Guest of:
Your answer
Does your child have Food Allergies/Concerns?
Your answer
Does your child have Medical Concerns or Conditions we need to be aware of at VBS?
Your answer
Who has permission to pickup your child?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms