2018 Vacation Bible School

 
(Group Publishing)
July 23-27 – 9:30 to 11:45 am
 

For children 3 1/2 years of age

(Children must be 3 years old  by January 1, 2018)

 through 6th Grade

 

To register your child (ren), fill out the form below and

click on the “SEND” button at the bottom of the form.

 

Parent's Name (required)

Address (required)

Zip Code (required)

Your Email (required)

Phone Number (required)

Emergency Contact (required)

EMERGENCY TELEPHONE NUMBER (required)

First Child's Name

Birthday:

First Child's Age

THE GRADE YOU CHOOSE SHOULD BE THE GRADE YOUR CHILD HAS JUST COMPLETED!

First Child's Grade (required)

Second Child's Name

Birthday:

Second Child's Age

Second Child's Grade

Third Child's Name

Birthday:

Third Child's Age

Third Child's Grade

Allergies (if any)

Photo & Video Taping Permission (required)

Any additional information you would like to provide

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