Game On VBS Registration
Sign up for Vacation Bible School at The Haven Church of God by completing the form below.
Participant's Full Name
*
First Name
Last Name
Participant's Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant's Age
*
Upcoming grade for the 26-27 school year
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
T-Shirt Size (only if registered by 5/15
Please Select
youth XS
youth S
youth M
youth L
youth XL
adult S
adult M
adult L
adult XL
adult 2XL
Can you child's photo be posted on our social media page?
Yes
No
Medical or Allergy Information
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have a church your family regularly attends?
Yes
No
Register
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