Registration


Last updated 06.28.2007 08:18 PM

VBS Registration Form

This registration is for*

Evening Youth Ministries Vacation Bible School

Name of Child*

Age*

Grade*

Name of Parent/Guardian*

Name of Parent/Guardian

Street Address*

City/Town*

State*

Zip*

Home Phone*

Cell Phone

Home Church

Food allergies or other
pertinent medical
conditions and instructions

do
do not

grant permission for my child to be photographed during church activities.*

*Required