2009 VBS REGISTRATION
July 20-24 9:00am-12noon
Deadline is July 5Please complete a separate registration for each child
Grade Entering In Fall:
Child's LAST Name:
Child's FIRST Name:
Address: (include city, state & zip
Parent/Guardian LAST Name:
Parent/Guardian FIRST Name:
EMAIL:
Home Phone:
Cell Phone:
Home Church (if any):
Any Allergies/Dietary Restrictions:
EMERGENCY CONTACT
Name:
Phone:
Please Note: Please be sure to bring in insurance information on the first day of Vacation Bible School as you will be asked to fill out a "Medical Release" form for each child.
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After clicking on the "SUBMIT FORM" button, you will be redirected to the Home Page. A confirmation email will be sent to you within 24hrs. Thank you so much for your interest in our VBS program. We look forward to meeting you!