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Home
About
Our Team
Our Beliefs
Our History
Ministries
Kids
Students
Adults
Contact Us
Prayer Requests
Giving
Devotional
VBS REGISTRATION
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Child's Name
*
First
Last
Emergency photograph Completed
Child's Birthdate
*
Last Grade Completed
*
Pre-K
K
1
2
3
4
5
6
Allergies
Parent/Guardian Name
*
First
Last
Address
*
City
*
State & Zip
Home Phone
Work Phone
Cell Phone
*
Email
*
Emergency Contact 1
*
First
Last
Emergency Contact 1 Phone
*
Emergency Contact 2
First
Last
Emergency Contact 2 Phone
My Child will be picked up by
*
First
Last
May we photograph your child?
Yes
No
May we use your child's photo in printed material and on the web?
Yes
No
Siblings Attending VBS
First
Last
Last Grade Completed
Pre-K
K
1
2
3
4
5
6
First
Last
Last Grade Completed
Pre-K
K
1
2
3
4
5
6
Last Grade Completed (copy)
Pre-K
K
1
2
3
4
5
6
First
Last
Last Grade Completed
Pre-K
K
1
2
3
4
5
6
Submit
