Registration Form
Vacation Bible School June 20-24, 2022 Get Ready....For a Howlin' Good Time!
June 20-24, 2022 - 6:10 PM - 8:30 PM
A Light meal will be served at 6:10 pm for all kids!
Friday June 24th is VBS FAMILY FUN NIGHT at 6:10 PM - Meet Upstairs
Food and fun for the whole family!
Complete one form per child
Child’s name
Child’s gender
Child’s age
Date of birth
/
Month
/
Day
Year
Date
Last school grade completed
Name of parent(s)
Street address
City
State
ZIP
Parent/caregivers cellphone #1:
Parent/caregiver’s cellphone #2:
Home email address
example@example.com
Home church
Allergies, medical conditions, or special needs
In case of emergency, contact
Phone
Relationship to child
My Child is a:
Church Bus Rider
Car Rider- will be picked up nightly
Submit
Should be Empty: