Irvine First Chinese Baptist Church/Grace Haven 2017 VBS Registration
1st - 6th Elementary
Date: 6/20-6/23/2017 Time : 1PM - 6:15 PM
Searching the Visible Discovering the Invisible!
Date: 6/20-6/23/2017 (Tuesday - Friday)
Fee: Early Registration - $45 (4/2- 5/14/2017) Regular registration - $50 (5/15 - 6/4)
Time : 1PM - 6:15PM
Welcome to 2017 VBS!
Please fill out your information to register for the amazing Bible adventure!
After fill out the application, please pay for the fee at the Church school booth on Sunday.
- Early registration: $45 (4/2-5/14/2017)
- Regular registration: $50 (5/15-6/4/2017)
*We do not accept the application after 6/04/2017.
Student Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Gender *
Required
Current Grade *
Required
Parents/Guardian Name *
Your answer
Email *
Your answer
Parent Phone number *
Your answer
Do you want to pay with Credit card or check?
Check # if you paid with a check (payable to BKC and give to Pastor Ruby Cheung)
Your answer
T- Shirt Size *
Required
Attending Church *
Required
Any friend who wants to be in the same group?
Your answer
Emergency Contact (name and phone number) *
Your answer
Allergies or other medical conditions
Your answer
Any Physical or special needs(e.g. very shy, extremely hyper, shouldn't run, slow reader, frequent restroom breaks, etc.)
Your answer
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