Registration for Vacation Bible School

Vacation Bible School June 19 - 22 from 5:45 PM to 8:30 PM. 


If your child was registered last year please see Mindy to update the information. For new registrations please enter the information below.

Thank you!



Items marked with an asterisk * are required.


Parent/Guardian Name*
Street Address*
City, State*
Zip Code*
Child 1 Name*
Home Phone Number*
Cell Phone Number
E-mail Adress*
Children Birthdate/s*
Last Grade/s Completed*
Medical Information (Please include food allergies)
Emergency Contact Name*
Emergency Contact Phone*
Who may pick up your child at the end of each VBS day?*
Church I'm a Member of
If you are visiting our church, who are you a guest of?

By registering and my child attending VBS, I understand that photos may be taken of my child and that those photos may be used on the church's Facebook or website for promotion.

Child 2 Name
Child 3 Name
Child 4 Name
Child 5 Name
Child 6 Name
Child 7 Name
Child 8 Name
Child 1 Shirt Size
Child 2 Shirt Size
Child 3 Shirt Size
Child 4 Shirt Size
Child 5 Shirt Size
Child 6 Shirt Size
Child 7 Shirt Size
Child 8 Shirt Size
Submit Registration