Vacation Bible School Child Registration Form 2022

Wednesday-Friday, June 29th -July 1st / 6:30-8:30pm / 4-12 years old

Child's Name

Gender

Male Female

Birthdate

Child's Grade - Just Completed

Pre-K/Kindergarten 1st grade 2nd grade 3rd grade 4th grade 5th grade

Parent/Guardian Name

Main Contact #

Address

This address will receive a confirmation email

Allergies/Health Conditions

Description

Please fill out this form and click submit.