Vacation Bible School Registration for July 8-12, 2013

More information about our VBS is available here.

Parent/Guardian Full Name*
Primary Phone Number*
Second Phone Number
Your Email Address*	Send me a copy of my registration
Street Address*
City*
State*
Zip Code*
Child Name(s)*
Child Age(s)*
Child's grade in school this fall*	Please enter the school grade that your child will be entering this fall, which will help us place your child in the right class in our VBS. For example, if you child is entering sixth grade, you can put 6 or "6th grade." If you have multiple children, you can say "6, 4, 1" in the same order that the children's names are listed above and we will be able to track the information.
Days you plan to attend (optional)	Monday  Tuesday  Wednesday  Thursday  Friday
Child's Allergies
People authorized to pick up your child
Church Affiliation
How did you hear about our VBS?
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When you arrive the first morning, we will go over some more registration information.