VBS Pre-Registration Form

Sundays

Bible Study 9:15AM

Worship 10:30AM

Bible Study and Prayer 6:00PM

Toggle navigation

Child's Name
*
Parent/Guardian Name
*
Mailing Address (if different)
*
Email Address
Date of Birth
Last grade completed in school
*
Best Phone Number to reach you
*
Medical or other information we need to know. (Please include any food allergies)
*
Emergency Contacts (other than listed above) Names and Phone numbers
*
Other Information (Does your child attend church? If so, where?
If your child is visiting our church, who are they a guest of?
May we have permission to photograph your child?
*

Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
Yes
No