VBS 2017
June 12-16 | VACATION BIBLE SCHOOL!
9 am – Noon
Ages 4-11
Parent's Name
*
Parent 2 information
*
Email
*
This address will receive a confirmation email
Phone
*
Other Contact Phone
*
Address
*
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Children
CHILD 1
*
Birth Date, Age, Grade
*
CHILD 2
*
Birth Date, Age, Grade
*
CHILD 3
*
Birth Date, Age, Grade
*
CHILD 4
*
Birth Date, Age, Grade
*
Does your child(ren) have allergies?
*
Please select one option.
YES
NO
Select Option
YES
NO
Please explain allergies and protocols for safety.
*
Does your child(ren) have any challenges (physical, behavioral, cognitive, or emotional)? Our Church Director will contact you to discuss your child's needs confidentially.
*
Please select one option.
YES
NO
Select Option
YES
NO
I would like information about becoming a volunteer in Children's Ministry
*
Please select one option.
YES
NO
Select Option
YES
NO
Registration Fee
Pay securely via PAYPAL
1 child ($10)
2 child ($20)
or per family ($25)
1 child ($10)
2 child ($20)
or per family ($25)
Amount
Behavior Code - sign and return. See link below.
Continue to Payment Page
Description
June 12-16
VACATION BIBLE SCHOOL!
9 am – Noon
Ages 4-11
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Please Fix the Following