Vacation Bible School Registration
July 10th-12th 6:00-8:30
Childs Full Name
First Name
Last Name
E-mail
example@example.com
Phone Number
Grade Level Completed:
Please Select
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
Parents Names
Parents Phone Number
Please enter a valid phone number.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Submit
Emergency Contact Information
Allergies or Medical Concerns
Names and Grades of Siblings attending VBS
Person(s) Allowed to pick up your child and contact information
Child T-Shirt Size
Please Select
Youth Small
Youth Medium
Youth Large
Youth X-tra Large
Photo release: Do Vacation Bible School leaders have permission to photograph/film your child designated above for any lawful purposes associated with this VBS program and publish on social media and marketing materials?
Yes
No
Mrs. Taylor will email you the link for the $15 registration fee.
Should be Empty: