Destination: Heaven VBS 2025

Destination: Heaven
Let's Take A Trip To God's House!
Where: Eastbrook Village Church
Sunday, July 13th - Thursday, July 17th ~~ 6:00pm - 8:30pm
Child 1 Name **
Child 1 Age **
Child 1 Grade Entering **
Child 2 Name
Child 2 Age
Child 2 Grade Entering
Child 3 Name
Child 3 Age
Child 3 Grade Entering
Child 4 Name
Child 4 Age
Child 4 Grade Entering
Parent/Guardian Full Name **

First NameLast Name
Home Address **

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Cell Phone Number **
Please enter a valid phone number.
Email Address **
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Please enter a valid phone number.
Food Allergies? (Please list Child's Name and specific allergies)
Should be Empty: