2024 Vacation Bible School Participant Registration

Child's Name

Child's Birthdate

Last Grade Completed

Parent/Guardian Name

Address

Cell Phone

Work Phone

This address will receive a confirmation email

Allergies, Medications, and/or Medical Conditions

Emergency Contact Name (In case parent/guardian cannot be reached.)

Emergency Contact Phone

People authorized to pick up my child (other than parent/guardian and emergency contact).

Description

June 3-7, 9am-12pm

Please complete this form for each child you would like to register for VBS 2024. Open to four-years-old by June 3, 2024, through 5th-grade.

Space is limited. Deadline to register is May 26th or until spaces are filled. We are unable to accept walk-ins.

2024 Vacation Bible School Participant Registration

Description

Please Fix the Following