Vacation Bible School Page proclaiming the salvation of Christ and Him Crucified

Hello kiddos, VBS 2010 starts Ausust 9th - 13th from 9:00am - 12:15pm daily.
Please Register Online using the form below


VBS Online Registration Form
Contact Information
Child's Name
Parent Name
Address
Mailing Address (if different)
Phone Numbers

Home:
Work:
Cell:


  
  
  

Email Address
Age Information

Birth date:
Last grade in school:


  
  

Medical Information

Medical or other information we
need to know.
(Please include any food Allegies.)
Emergency Contacts

Name:
Phone Number:
Name:
Phone Number:


  
  
  
  


Dismissal Information

Who will pick up your child at
the end of each VBS day?

Other Information
Do you attend Sunday School?
If so where?

If you are visiting our church,
who are you a guest of?

Photo Release Agreement
Click to Read Agreement

May we have permission to
photograph your child?

May we have permission to use your
child's photograph for the purpose
of promotion?




   Yes   No



   Yes   No