Vacation Bible School - August 1-5, 2016

Vacation Bible School - August 1-5, 2016 - 9:00am to 12:00noon

Come join us as we ride off into the sunset to have a rip-roaring good time with Jesus and your friends at CCLA.
Each child must be registered separately or they will not be enrolled in VBS. A Consent and Release form is mandatory to attend VBS. It can be downloaded at the CCLA website by clicking on the banner button linked to the form. When complete, email the form to vbs.ccla@gmail.com or send by USPS mail to the VBS address on the banner .
This is open to ages 4 through completion of grade 5. Plus a mommy & me group for toddlers under 4.

Please fillout the form below and submit to register for the VBS. ******Each child must be registered separately or they will not be enrolled in VBS.****** All fields marked with a asterisk are required. Contact: vbs.ccla@gmail.com
Child's Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Male or Female:*
Age:*
School Grade Just Completed:*
Parent's Name:*
Home Church:*
E-mail:*
T-Shirt Size:*
The T-shirt size is based on Youth sizing. If you would like to request an Adult size, please use the comment area below to specify that you are requesting the Adult size for the T-shirt.
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
How did you hear about us?:
How did you hear about us?
Comments:
Should be Empty:

Vacation Bible School - August 1-5, 2016 - 9:00am to 12:00noon