Calling all children ages 5-13 to register for this exciting event from 15-Jun to 17-Jun for a fun filled experience through Keepers of the Kingdom
Vacation Bible School Registration
(One form per child)
Child's Name
*
Birthday
*
Grade Completed
*
Kindergarten
1
2
3
4
5
6
7
8
T Shirt Size
XS
S
M
L
XL
Father's Name
*
Home Phone
*
Mother's Name
*
Mother's Phone
Home Address
*
Preferred Email
*
Food Allergies
*
Yes
No
List all the Food allergies (if any)
Medical Concerns
*
Yes
No
List all medical concerns (if any)
Family Doctor's Name
Doctor's Contact
People who may pickup the child
Transportation Required
*
Yes
No
Church Affiliation
Church Membership At (if any)
*
I agree VBS coordinators have permission to film or take photographs/video of my child
Submit
