VBS Registration

Vacation Bible School for ages 2-13 years

Monday, June 22nd to Friday, June 26th

5:30pm to 8:15pm

Light Supper provided at 5:30pm

* Indicates required field

Child's Name *

First

Last

Parent's Name *

First

Last

Age of Child *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Allergies *

Church Attending *

Permission to use images of your child on website and/or social media? *

Submit

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