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Vacation Bible School

June 17 - 21, 2019
9:00 a.m. to 12:00 p.m.
For children age 4 (by September 1, 2019) through completed 5th grade
Sign-up now by completing the registration form

Registration Form

Child's Full Name *
Child's Full Name
Child's Date of Birth *
Child's Date of Birth
Age of Child *
Grade Child Completed at End of 2018-2019 School Year *
Parent's Phone Number *
Parent's Phone Number
to be used as emergency contact number
Full name of person other than you who we can contact in case of emergency if we are unable to reach you first
Emergency Contact Person's Phone Number *
Emergency Contact Person's Phone Number
Picture Permission and Authorization to Participate in VBS Activities *
We will be taking many pictures at VBS, including a photo booth that will be used to create a keepsake that the child will bring home at the end of the week. Some photos may also be used for promotional purposes. Please check an option:
Parent/Legal Guardian Completing Form *
Parent/Legal Guardian Completing Form