Vacation Bible School Registration Form
    for children who have completed grades Kindergarten through grade 5

Child's Name (required)

Parent's Name (required)

Your Email (required)

Phone Number (required)

Child's Age (required)

Last School Grade Completed (required)

Please let us know if we have your permission to use your child's photo on our church's website, Facebook page and church newsletter. No names will be used.

Allergies (if any)

Names(s) of person(s) who may pick up this child from VBS

Any additional information you would like to provide