Evening VBS Registration
Hope Presbyterian Church
July 14-18, 6:00 pm - 8:00 pm
Suggested Donation $10 per child
Email address *
Participant 1 First Name *
Your answer
Participant 1 Last Name *
Your answer
Grade Participant 1 is Entering *
Participant 2 First Name
Your answer
Participant 2 Last Name
Your answer
Grade Participant 2 is Entering
Participant 3 First Name
Your answer
Participant 3 Last Name
Your answer
Grade Participant 3 is Entering
Parent First Name *
Your answer
Parent Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Emergency Contact Relationship *
Your answer
Medical Concerns
We will be providing a snack at the end of each evening. If your child(ren) has dietary restrictions, please let us know.
Your answer
Optional: Purchase VBS Music for $7
*
Required
A copy of your responses will be emailed to the address you provided.
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