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Please fill out this form and submit to Register for Vacation Bible School, being held:

July 9th - 13th from 9:00 am to 12:00 pm.

VBS is open for children from the age of Kindergarden through 6th grade.

Please indicate if transportation will be needed in the comment area bellow.

We look forward to seeing you at Vacation Bible School:

VBS Registration Form

Parent first Name:    
Parent last Name:    
Email:   
Your Phone number?  (xxx-xxx-xxxx)   

Mailing address:
City: State: zip code:

Child 1 first Name:
Child 1 last Name:
Child 1 age:
Child 1 Last school grade completed:

Child 2 first Name:
Child 2 last Name:
Child 2 age:
Child 2 Last school grade completed:

Child 3 first Name:
Child 3 last Name:
Child 3 age:
Child 3 Last school grade completed:

Child 4 first Name:
Child 4 last Name:
Child 4 age:
Child 4 Last school grade completed:

Child 5 first Name:
Child 5 last Name:
Child 5 age:
Child 5 Last school grade completed:

Child 6 first Name:
Child 6 last Name:
Child 6 age:
Child 6 Last school grade completed:

Comments: