Bethlehem Presbyterian Church Vacation Bible School 2018
Please submit a form for each child.

Registration Fees (Due on opening day) THRU 5/31:
$20 for the 1st child
$15 for the 2nd child
Max $50 per family


Registration Fees June 1-June 22nd
$25 for 1st child
$15 for 2nd child
Max $65 per family


*Please note that we take pictures each day. These photos may be used in daily slide shows and/or posted on our church website.*

Email address *
Parent Names *
Your answer
Phone Number *
Your answer
Emergency Contact (besides parent) *
Your answer
Emergency Contact Phone # *
Your answer
Name of Child *
Your answer
Age of Child *
Your answer
Grade COMPLETED *
Your answer
T-Shirt Size *
If youth size, please specify with Y
Your answer
Does your child have any food allergies? Please list
Your answer
A copy of your responses will be emailed to the address you provided.
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