VBS REGISTRATION
For Children Entering Grades 1st-4th

Wednesday July 31st
Wednesday August 7th
Wednesday August 14th
Wednesday August 21st

5:30-6:00PM Dinner
6:00-8:00PM Stories, Games, Music

Grand Finale for kids and parents
Sunday August 25th 10:30AM

At The Love Church
3132 Lake Road, Horseheads, NY 14845

PLEASE FILL OUT ONE REGISTRATION PER CHILD
Sign in to Google to save your progress. Learn more
Parent or Guardian Name(s) *
Parent or Guardian Phone Number *
Parent or Guardian E-mail *
How did you hear about VBS? *
Child's Full Name *
Child's Age *
Grade Entering *
Address *
Dates child will be joining us for dinner.(Menu TBD) *
Required
Child's Allergies
Emergency Contact *
Relationship to Child *
Emergency Contact Phone Number *
Emergency Contact Email Address *
Anything else you'd like us to know?
PHOTOGRAPHY RELEASE: Will you give permission to The Love Church to use any photo that contains your child to be used for media purposes? Example: slideshows of the event
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy