VBS 2019 Registration Form

Vacation bible school 2019

***Please complete one form per child.***

* Indicates required field

Child's Name *

First

Last

Child's Birthday *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent's Name *

First

Last

Parent's Phone Number *

Email *

Last Grade Completed In School *

T-Shirt Size *

Important Medical Information (Allergies, etc.) *

Do you attend church? If so, where? *

Do we have permission to photograph your child? *

Yes No

Will your child participate in extended day VBS for the cost of $10 per day? *

Yes No

Please select all of the days your child will be participating in extended day VBS. *

Monday Tuesday Wednesday Thursday

Submit