Vacation Bible School Registration for children going into Kindergarten through going into sixth grade.

Child's Information

You must complete one form for each child who will attend VBS.

Child's Name

My Child is a

Boy Girl

Child's Age

Date of Birth

Last school grade completed

Pre K K 1st 2 nd 3rd 4th 5th

Parental/Guardian Information

Name of Parent/Guardian

Address

Parent/Guardian Phone

Parent/Guardian Email

This address will receive a confirmation email

Home Church

Emergency/Health Information

We care about your childs safety. Please complete this section about their health.

Allergies or other medical information

In case of emergency, contact

Emergency contact phone

Relationship to child

Designated people who may check out my child at the end of the evening

Children must be signed out by a responsible adult caregiver at the end of each evening. Please list the names of people that have your permission to sign your child out.

Designee(s)

Description

8/1/2022 - 8/4/2022, 6:00 PM - 8:30 PM

Please fill out this form and click submit.

Vacation Bible School Registration for children going into Kindergarten through going into sixth grade.

Description

Please Fix the Following