Monday-Friday | June 19-23 | 6:00pm-8:45pm | Ages 4-12

Fill out the form below to register your child for VBS 2017!!

Please fill out one form per child.


Please inform us of any allergies or health conditions your child may have. If none, please write "none."
Who should we call in case of an emergency?
Primary Contact Phone #: *
Primary Contact Phone #:
The number we should call in case of an emergency.
Who should we call if the primary contact is unreachable in an emergency?
Secondary Contact Phone Number:
Secondary Contact Phone Number:
Address: *
Address:
Please tell us whether or not we may contact you in the future. We will never put you on a mailing list or divulge any of your information to any other organization.

We are looking forward to seeing your child at Vacation Bible School this Summer!