Vacation Bible School Registration
Please complete one registration form for each child.
Child Information
Child's Name *
Child's Age *
Date of Birth *
MM
/
DD
/
YYYY
Grade *
Shirt Size *
Any medical conditions we should know about?
Please include allergies and all other information
Parent Information
Parent's Name *
Street Address *
City
Parent/caregiver's phone number *
Parent email address *
Home Church
Emergency Contact
Different than parent/caregiver
Emergency Contact Name *
Phone Number *
Relationship to Child
A short video to get you excited about VBS!
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