Vacation Bible School Registration 2015

July 19th. - 23rd. 6:30-8:45 PM
Register by July 1st. to receive a FREE t-shirt

2015 Vacation Bible School Registration

* Indicates required field

Child's Name *

First

Last

What grade is your child going into this fall? *

T-shirt size (July 1st. deadline) *

Parents Name *

First

Last

Phone Number *

Cell Phone *

Email *

Emergency Contact & Phone number *

Relationship to you? *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Facts concerning the child’s medical history, including allergies, medications being taken and any physical impairments to which a physician should be alerted. *

yes no

Church Bus Authorization

If Yes- List Allergies, Medications being take. *

Do You need Transportation *

Yes No

Location for bus pick up *

Location for bus drop off *

Submit

July 19th. - 23rd. 6:30-8:45 PMRegister by July 1st. to receive a FREE t-shirt

2015 Vacation Bible School Registration

Church Bus Authorization

July 19th. - 23rd. 6:30-8:45 PM
Register by July 1st. to receive a FREE t-shirt