2018 VBS Child Registration

June 4th-8th | Please fill out this form to register your child and click submit.
Classes are available for 1st-8th grades.

Please take a moment to fill in all of the information below to pre-register your child for our 2018 Vacation Bible School program. The program will be held nightly from 6:15-9:00pm on June 4th-8th.

Student Name

*

Male/Female

*

Please select one option.

Male Female

Address

*

Age

*

Grade Entering In Fall

*

Please select one option.

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade

Birthdate

Parent/Guardian Name

*

Parent/ Guardian Phone

*

Emergency Contact

*

Emergency Contact Phone

*

Description

June 4th-8th

Please fill out this form to register your child and click submit.
Classes are available for 1st-8th grades.

Please Fix the Following

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