Vacation Bible School

Registration and VBS fee ($20 per child. Scholarships are available) are due on June 1st.

Please fill out a different form for each child.

Child's Name *Enter their full name.

Boy

Girl

Child's Age *This is a number only field

Date of Birth *Select the date.

Last School Grade Completed *

Parent's Names *Enter both parents names

Address *

Phone Number of an adult who can be reached during VBS hours. *This is a number only field

Names and phone numbers of other adults that can be reached during VBS if needed.

Does your child have a friend they would like to be with during VBS?

Home Church: *

Allergies or other medical conditions we should know: *

Any other notes or information you would like us to know:

Check this box if your child need a fee scholarship (Fee is $20 per child)