Vacation Bible School 2024 Registration

Vacation Bible School 2024 Registration

PLANTED: In our Bodies, In our Faith, In our Community
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Date
Grade
Gender

MaleFemale
Name

First NameLast Name
Cell Number
Please enter a valid phone number.
Email
example@example.com
Emergency Contact Name (different than above)

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.
Weeks attending: (July 20 is full)*

July 27August 3
Does your child have any allergies, medical conditions, or unique learning needs that we should be aware of? If yes, please describe.
Should be Empty: