Vacation Bible School – Registration Form

Our Vacation Bible School begins Monday, July 28 and ends Friday, August 1.  We meet from 9:00 AM through 12:00 PM each day.  The Bible School is free and is open to all children pre-school  through age 12.

 

CHILD INFORMATION

Child 1 - Name:    Age:    Last Grade Completed:

Child 2 - Name:    Age:    Last Grade Completed:

Child 3 - Name:    Age:    Last Grade Completed:

Child 4 - Name:    Age:    Last Grade Completed:

Child 5 - Name:    Age:    Last Grade Completed:


PARENT INFORMATION

Parent / Guardian:



Phone:



Email:



Address:




EMERGENCY INFORMATION

Food Allergies / Medical Information / Other: