VBS Registration Form

695 Robson Drive Kamloops, BC V2E 2B4 250-828-2221 office@hillsofpeace.com
Join us Aug 19 - 23 9:00am - noon

For crafts, science, snack, story, recreation and music!
VACATION BIBLE SCHOOL REGISTRATION
Child's Name*

First NameLast Name
Birthdate

MonthDayYear
Date
Grade that the child is going into:
Parent's Name*

First NameLast Name
Parent's Name

First NameLast Name
Home Phone Number*
Cell Phone Number*
E-mail*
example@example.com
Emergency Contact Name*

First NameLast Name
Cell Phone Number*
Allergies / Sensitivities:
Should be Empty:

695 Robson Drive Kamloops, BC V2E 2B4 250-828-2221 office@hillsofpeace.com