VBS REGISTRATION FORM 2024
Grace Covenant Church
Parent/Guardian Info:
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Parent/Guardian Email
*
example@example.com
Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
Parent/Guardian is same as Emergency Contact
I would like to add an Emergency Contact
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Emergency Contact Email
*
example@example.com
This registration is for:
Preschool VBS: June 17 - 21 from 9 a.m. - Noon
Elementary VBS: July 22-26 from 6-8 p.m.
Child Information
*
Submit
Should be Empty: