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: