VBS Registration Form

West Columbia First Church of the Nazarene VBS 2025 Registration

Monday, June 9-Friday, June 13 6pm-8pm
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade Completing or Completed in 2025
MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
E-mail
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Should be Empty:

West Columbia First Church of the Nazarene VBS 2025 Registration