Vacation Bible School – Roar! June 10-14, 2019; 9:00-11:45 am

Online registration for Vacation Bible School will open on May 17. Please check back here to register your children for VBS.

Online Registration Form
*Child's First Name:
*Child's Last Name:
*Child's Age [Must be Preschool (potty-trained only) - 6th grade to register]:
*Date of Birth [dd/mm/yyyy]:
*Grade going into [Preschool-6th]:
*Name of Parent/Guardian:
*Street Address:
*City:
*State:
*Zip:
*Home Phone:
*Cell Phone:
*Your Email:
Your Church Home:
*Emergency Contact [Name/Number]:
*Relationship to Child:
Name of ONE special friend your child might like to be with:
Allergies/Medical Conditions?:
Additional helpful information?:
*Yes:

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