Ohio UP Vacation Bible School Registration 2025

VBS Registration - 2025

(click on picture above for overview!)
Ohio United Presbyterian Church
June 9th-13th
9:30am-12:00pm
Child's Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Age:*
Grade Completed*
Child's Name:

First NameLast Name
Birth Date:*

MonthDayYear
Age:*
Grade Completed*
Child's Name:

First NameLast Name
Birth Date:*

MonthDayYear
Age:*
Grade Completed*
Child's Name:

First NameLast Name
Birth Date:*

MonthDayYear
Age:*
Grade Completed*

Parent/Gardian:*

First NameLast Name
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone:*
E-mail:*
example@example.com

Emergency Contact:*

First NameLast Name
Emergency Contact Phone:*
Who is (most likely) Picking up Child(ren):
Special Needs / Alergies / Concerns:
Should be Empty: