Vacation Bible School

Charging My Faith

8:30 am - 12:00 noon

April 3 - 7, 2023

Ages 4-12

Registration Form:

Child Name

Child's Age

Child's Birth Date

Child's Grade

Address

Phone

Parent/Guardian Name

Parent/Guardian Phone

Emergency Contact Name 1

Emergency Contact 1 Phone

Emergency Contact Relation to Child

Emergency Contact Name 2

Emergency Contact 2 Phone

Doctor

Doctor Phone

Allergies or Special Needs

Who may pick up your child at the end of each VBS day?

Pick up Relationship

Who may pick up your child at the end of each VBS day?

Pick up Relationship