Vacation Bible School Registration
Vacation Bible School begins at 6:00 pm and
will end at 8:30 pm each night.

Name of Child
Name of Parents
Phone Number:
Address:
City:
State:
Zip:
E-mail Address:
Age Group
4 years - kindergarten
  1st - 3rd Grade
  4th - 6th Grade
Please submit a separate registration form for each child attending Vacation Bible School.