EFBC VBS 2021 Registration
Come journey with us to Mystery Island!
Ebenezer Faith Bible Church
630 State Route 93 Berwick PA 18603
June 20-June 24 for ages 3 through 8th grade.
6:00 p.m. - 8:15 p.m.
Email *
Child's Name (First & Last): *
Child's Age: *
Last grade completed in school (if applicable): *
Mailing address: *
Parent/Guardian's Name: *
Parent/Guardian's Phone Number: *
Emergency Contact Name & Relationship to Child: *
Emergency Contact Phone Number: *
Does your child have any allergies or medical conditions that we should be aware of? *
Do we have permission to take your child's photograph and share on the church's website or Facebook account? *
Name of Church that Child/Family Attends (if applicable):
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy