Vacation Bible School Registration for July 29-August 2, 2019

More information about our VBS is available here.

Parent/Guardian Full Name*
Primary Phone Number*
Second Phone Number
Your Email Address*	Send me a copy of my registration
Street Address*
City*
State*
Zip Code*
Child Name(s)*	A comma-separated list of the names of children who will attend the VBS. Please include your child's last name if it is different than your own last name.
Child Age(s)*	A comma-separated list of the ages of the children who will attend VBS.
Child grade(s) in school this fall*	Please enter the school grade that your child will be entering this fall, which will help us place your child in the right class in our VBS. For example, if you child is entering sixth grade, you can put 6 or "6th grade." If you have multiple children, you can say "6, 4, 1" in the same order that the children's names are listed above and we will be able to track the information.
Child's Allergies	We need to know about food allergies. If your child has any, please include whether you will bring an epi-pen for them. You may include medication allergies as well, but we do not administer non-emergency medication (epi-pen would be an exception in a life-threatening emergency).
People authorized to pick up your child
Church Affiliation
How did you hear about our VBS?
Photo Permission	Permission for church to use photos that include your child(ren)
	Please confirm that you are a human by entering the text from the image at left.

When you arrive the first morning, we will go over some more registration information.