top of page
Home
About
What We Teach
Church Covenant
Ministries
Leadership
Join Us
VBS
Schedule
Watch
Contact
Give
More
Use tab to navigate through the menu items.
2023 VBS REGISTRATION
STUDENT'S NAME
GENDER
MALE
FEMALE
DATE OF BIRTH
AGE
PARENT/GUARDIAN NAME
RELATIONSHIP
ADDRESS [INCLUDE CITY, STATE, ZIP]
PHONE NUMBER
EMAIL
ALLERGIES/MEDICAL CONDITIONS
EMERGENCY CONTACT
RELATIONSHIP
HOME PHONE NUMBER
CELL PHONE NUMBER
OTHER PEOPLE AUTHORIZED TO PICK UP CHILD
SUBMIT
THANKS FOR REGISTERING
bottom of page
