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VBS Registration

Please register here for Vacation Bible School.

You can pay the first night at registration or drop a check off at the front desk.
$25 per child/ $60 per family
 


    • Parent/Guardian *


    • Home Phone Number



    • Cell Phone Number



    • Address *







    • E-Mail Address *

    • Child's Name *


    • Birthday *

    • Grade 2011-12 *

    • Child's Name


    • Birthday

    • Grade 2011-12

    • Child's Name


    • Birthday

    • Grade 2011-12

    • Please don't let finances affect your participation. Everyone is welcome!

    • Are there any medical, familial, educational concerns we should know about? If so, please explain: *

    • Volunteer Help

    • Name


    • Phone Number



    • Grade (If Applicable)

    • Email


Authentication Text*
(Enter the text in the image above into this field.)

NOTE: Do Not Alter These Fields: