Vacation Bible School Registration Form
Please fill out your details and select your attendance options.
Participant's Full Name
*
First Name
Last Name
Parent or Guardian Name
*
First Name
Last Name
Parent or Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent or Guardian Email
*
example@example.com
Church Home, if applicable
Participant's Age/Grade
*
3 years old (must be potty trained)
4 years old
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Allergy Information (if any)
Special Needs or Accommodations (if any)
Which nights will your child attend?
*
June 22nd
June 23rd
June 24th
June 25th
Approved Pick Up List (Names and numbers of people authorized to pick up your child)
*
Register
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