Keepers of the Kingdom! VBS 2023 - July 10-14 6:30-9:00 p.m. nightly. Register today!

Please complete the form below to REGISTEr

Child Name

First Name

Last Name

Age

Grade Just Completed

Does your child have any food allergies?

Parent or Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mailing Address (If Different from Physical Address)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number

Please provide a phone number we can use to reach you in case of emergency.

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Who is allowed to pick up your child from Vacation Bible School?

Please list anyone who might pick up your child.

Do you have a church home?

Yes

No

Would you be interested in enrolling in our Sunday School?

Yes

No