VBS will be taking place July 24-28, 6:30pm-8:30pm. The theme this year is Ocean Commotion: Diving into Noah's Flood. We hope your children will come find out what the commotion is all about!





 Vacation Bible School Registration


Please provide complete information. Please fill out one (1) form for each child that will be attending.


Child Information:



First:    Middle Initial:  


Last: 


Address:

 Street:  City:  


State:


Zip:


Date of Birth(YY-MM-DD):  Gender:   


Last Grade Completed:


Allergies (if yes please provide info, if no please input n/a):


Allergy Info:                                                                

    


Special Needs (if yes please provide info, if no please input n/a):


Special Needs Info:


              

Home Church(if none please enter n/a):  


Do you have a preferred group leader for you child, if so please enter their name.


 



Parent/Guardian:


First:   Last:


Phone (no dashes):


Home:   Cell


Emergency Contact Info:


First:   Last:


Phone (no dashes)


Home:   Cell: