CHAMPIONS! Vacation Bible School Registration
Use this form to register students for Vacation Bible School June 12-15, 2022.This is not a child drop-off event. A Bible devotion is provided for adult guests while children enjoy their activities.
Student Information
Which days will you be attending?
*
Sun 5 p.m.
Mon 10 a.m.
Tue 10 a.m.
Wed 10 a.m.
How many student's will you be registering?
*
1
2
3
4
5
1st Student's Name
*
First Name
Last Name
1st Student's Age
*
2 Years Old
3 Years Old
4 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
For grade level student's please select the grade they just completed.
2nd Student's Name
*
First Name
Last Name
2nd Student's Age
*
2 Years Old
3 Years Old
4 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
For grade level student's please select the grade they just completed.
3rd Student's Name
*
First Name
Last Name
3rd Student's Age
*
2 Years Old
3 Years Old
4 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
For grade level student's please select the grade they just completed.
4th Student's Name
*
First Name
Last Name
4th Student's Age
*
2 Years Old
3 Years Old
4 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
For grade level student's please select the grade they just completed.
5th Student's Name
*
First Name
Last Name
5th Student's Age
*
2 Years Old
3 Years Old
4 Years Old
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
For grade level student's please select the grade they just completed.
Guardian Information
Please let us know the guardian that will be attending as well. We require at least one supervising adult to attend with their children.
Guardian's Name
*
First Name
Last Name
Guardian's Phone Number
*
-
Area Code
Phone Number
Guardian's Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other Information
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
-
Area Code
Phone Number
Is there anything we need to know about your family?
Submit
Should be Empty: