Vacation Bible School

June 20-24 | 5:30 – 7:30 pm

We can’t wait to see your kiddos/grandkids/neighbors again this year!

Children Attending
Kid's Full Name T-shirt size: Youth / Adult XS/S/M/L/XL Age
Parent's Name*
First Last
Address
Street Address City State ZIP Code
Email*
Home Phone
Cell Phone
Would you (the parent) be willing to volunteer?
- Yes, Indeed!!!
Emergency Contact Name*
First Last
Emergency Contact Phone*
Special Needs / Allergies / Other Concerns
Does your child attend Sunday School and, if so, where?
May we have permission to photograph your child?
- Yes
- No
May we have permission to use your child's photograph for the purpose of promotion?
- Yes
- No
Phone
This field is for validation purposes and should be left unchanged.

Kid's Full Name	T-shirt size: Youth / Adult	XS/S/M/L/XL	Age