2023 VBS Registration Form
Join us for Vacation Bible School from July 10th-14th, 2023. VBS goes from 6PM-8:45PM each night, please use the form below to sign up your children that are ages 4-12.
Parent/Legal Guardian Name
*
First Name
Last Name
E-mail
*
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Emergency Contact (If same as above put N/A)
Please specify an emergency contact (it can be the same as the above parent/guardian). If they are not listed above, please provide their first/last name and phone number.
Children to Attend (Ages 4-12)
Any Medical Issues or Allergies?
*
Please let us know if any of your children have any medical conditions or food allergies. If no Medical Conditions or Allergies please write "None".
If you need to confirm or change any information please email church@graceccnh.org with your name and the information you would like to change.
Please verify that you are human
*
Submit
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