Registration for Vacation Bible School 2018
Please fill out the form and follow the link at the end to the payment page.

July 16 - 20, 2017
9am - 12pm (drop-off at 8:45am)
$45/child, $40/add'l child
Ages 4 - 10 years old

Pre-registration only, limited spaces

Email address *
Child's Name *
Your answer
Child's Gender *
Your answer
Child's Age *
Child's Date of Birth *
MM
/
DD
/
YYYY
Last school grade completed *
Your answer
Name of Parents *
Your answer
Address *
Your answer
Home Phone *
Your answer
Parent/Caregiver Cell Phone *
Your answer
Home Church (if any) *
Your answer
Allergies or other medical conditions *
Your answer
In case of emergency, please contact (name, phone, and relationship to child) *
Your answer
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