Summer Bible Institute (Vacation Bible School)
Registration Form
Child's first name *
Your answer
Child's last name *
Your answer
Male or Female *
Child's birthday *
MM
/
DD
/
YYYY
Grade the child has just completed *
Child's street address *
Your answer
City *
Your answer
Zip Code *
Your answer
Phone Number (for emergency purposes) *
Your answer
Email *
Your answer
Father's Name *
Your answer
Mother's Name *
Your answer
Any other concerns?
Enter any information about health concerns, food allergies (a small snack will be served), or other directions we should know. Thanks.
Your answer
Does your child need transportation? (only for children K-6) *
We do not guarantee transportation to every child, but answering "Yes" here will send your information to our transportation coordinator for review. He will contact you regarding our ability to provide transportation for your child. Thanks.
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