Vacation Bible School 2023
Monday, June 19 - Thursday, June 22. 6:00PM - 8:30PM. | Please fill out this form and click submit to register for Vacation Bible School.
Parent / Guardian Contact Information:
Name
*
Address
*
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AS
AZ
BC
CA
CO
CT
DC
DE
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MD
ME
MH
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MO
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MT
NB
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PA
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QC
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TN
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VA
VI
VT
WA
WI
WV
WY
YT
Primary Phone
*
Secondary Phone
Email
*
This address will receive a confirmation email
Please enter information for each child that will be attending. Be sure to include any allergy or medical information that we should know.
Child #1 Information:
Name
*
Birthdate
*
Grade Completed This Summer
*
Please select one option.
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Allergies / Notes
Child #2 Information:
Name
Birthdate
Grade Completed This Summer
Please select one option.
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Allergies / Notes
Child #3 Information:
Name
Birthdate
Grade Completed This Summer
Please select one option.
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Allergies / Notes
Child #4 Information:
Name
Birthdate
Grade Completed This Summer
Please select one option.
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Allergies / Notes
Child #5 Information:
Name
Birthdate
Grade Completed This Summer
Please select one option.
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Select Option
Continuing or Finished Preschool
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Allergies / Notes
Additional Information
Do we have permission to photograph/video your child and use his or her pictures in the church’s digital and print communications? We will never publish a child’s name or any other personal information.
*
Please select one option.
Yes
No
Do you regularly attend a church?
*
Please select one option.
Yes
No
Occasionally
May we contact you about future events?
*
Please select one option.
Yes
No
Submit
Description
Monday, June 19 - Thursday, June 22. 6:00PM - 8:30PM.
Please fill out this form and click submit to register for Vacation Bible School.
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