“Glow with God” VBS Registration
Grassland Church • 17839 Bear Creek Rd. Join us on Saturday, July 25th, from 10 AM to 1 PM for a 1-day VBS program. Open to children age 4 through the 6th grade.
Parent's Full Name
*
First Name
Last Name
Parent's Email Address
*
example@example.com
Parent's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Full Name
*
First Name
Last Name
Age
M / F
Allergies / Needs
May we share pictures on Facebook?
*
Yes
No
Additional Child's Full Name
First Name
Last Name
Age
M / F
Allergies / Needs
Additional Child's Full Name
First Name
Last Name
Age
M / F
Allergies / Needs
Additional Child's Full Name
First Name
Last Name
Age
M / F
Allergies / Needs
Register
Should be Empty: