VBS Registration

Register your children for Vacation Bible School (VBS)

June 6-10 by completing the following form.

VBS is for children from 4 years of age to those
who have completed 5th grade.

REGISTRATION FORM (AGES 4 - 5TH GRADE)

June 6 - 10 9 am - noon

1st Child's Name

Age

2011-2012 Grade

2nd Child's Name

Age

2011-2012 Grade

3rd Child's Name

Age

2011-2012 Grade

Address

City

Zip

Parents/Guardians

Home #

Work #

Cell #

Email Address Required! (confirmation will be sent to you!)

Emergency Contact Name and Number

Allergies/Medical Conditions

BE SURE TO CLICK THE SUBMIT BUTTON AT THE BOTTOM OF THIS FORM!

To Parents/Adults:
If you are interested in volunteering during the week of VBS, please indicate below. Thanks!

I am available on these days (please check all that apply)
Monday, June 6

Tuesday, June 7

Wednesday, June 8

Thursday, June 9

Friday, June 10

Volunteer's Name

Volunteer's #

Volunteer's Email Address

THANK YOU!