July 10 – 14, 2017, 6:30 – 8:30 PM

VBS Child Registration Form

(For Multiple Children, please submit separate forms)

Parent or Guardian Name (required)

Your Address (required)

Your Email (required)

Church Affiliation (required)

Your Phone (required)

Child's Name (required)

Child's Age (required)

Food Allergies (required)

Message Body