Join Us for Vacation Bible School 2016

 

Friday, August 19th (6:00pm - 8:30pm)

Saturday, August 20th (9:00am - 11:30am)

Sunday, August 21st (10:30am - 11:45am)  w/Picnic following

 

 

PLEASE FILL OUT THE FOLLOWING ONLINE FORM TO REGISTER YOUR CHILD FOR VBS.  

Complete one registration per child.  Thank You!

 

Child's name *
First Name
Middle
Last Name
Child's age:*
Date of birth:*
Last school grade completed*
Name of parent(s)*
Street address *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Home phone:*
Parent cell phone*
Email address*
Home church*
The following information is required to insure the safety of your child while in our care.
Allergies or other medical conditions *
In case of emergency, contact*
Emergency contact phone*
Relationship to child*