"Make Fun Factory" VBS registration - ages 4 through 6th grade
Pre-register for Maker Fun Factory Vacation Bible School. July 17-21 at Valley Falls Christian Church, 511 Oak Street, Valley Falls KS. 6:30-8:30 PM nightly. For grades preschool - 6th grade. (age 4 through 6th grade).


Student's First Name
Your answer
Student's Last Name
Your answer
Address
Your answer
City, State, Zip Code
Your answer
Date of birth (mm/dd/yyyy)
Your answer
Student's age
Student's grade just completed
Parent or guardian
Your answer
Phone
please give us the number we are most likely to be able to reach you in case of emergency.
Your answer
email address
Your answer
emergency contact name
someone to call in case we cannot reach a parent
Your answer
emergency contact number
phone number of above person
Your answer
Are there any allergies or medical conditions we should know about?
Your answer
Please list anything else about your child that the staff might need to know.
(special needs or requests)
Your answer
May we post pictures of your child on the Valley Falls Christian Church Facebook page?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms