Vacation Bible School 2021

Vacation Bible School Registration 2025

"*" indicates required fields

Online Registration Agreement*

PLEASE READ THIS AGREEMENT CAREFULLY AS USE OF THE SERVICE CONSTITUTES ACCEPTANCE OF THESE TERMS AND CONDITIONS. IF YOU DO NOT AGREE, DO NOT REGISTER. Online registration for this event may only be completed by an adult eighteen years old or older. The registration of a child under thirteen years old must be completed by that child’s parent or legal guardian.

I agree

I do not agree

Child's Name*

First Last

Child's Age*

Child Birthdate*

Child Last grade completed*

Parent/Guardian Name*

Parent/Guardian Name 2 (if applicable)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Parent/Guardian #1 Primary Phone*

Parent/Guardian 2 Phone

Parent/Guardian Email*

Allergies/Health information/Special Needs

Please provide us the appropriate information. Leave blank if not applicable.

Emergency Contact #1*

First Last

Emergency Contact #1 Phone*

Relationship to child

May we photograph your child? Images may be used in end of program video/on our church website.*

Yes

No

If you are a member/regular attender at a different church, where do you attend?

Name of Adult who will be picking up child*

Name

This field is for validation purposes and should be left unchanged.

CAMPUS LOCATION

SERVICE TIMES

Sundays
Sunday School: 9:45 AM
Worship: 11:00 AM

Wednesdays
Bible Study: 7:00 PM