Vacation Bible School Registration 2022

Please fill out this form and click submit.

Personal Information

Hey there! We are using this new program this year for our registration, and ask that you enroll ONE person per form! We want your VBS experience to be as safe as possible, so this new technology will help us keep accurate information on all of our registrants! We appreciate you taking the time to register each person who will be attending!

Name of Participant

*

Name of Parent/Guardian (If under 18)

Days Attending-

*

Please select all that apply.

Sunday Monday Tuesday

Parent/Guardian/Personal Email

*

This address will receive a confirmation email

Phone

*

Address

*

Birthdate

*

Grade/Category

*

Please select one option.

Nursery Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade Middle School High School College Student Parent/Guardian/Family Member Volunteer

Additional Info

Photo of Participant

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Adults Authorized for Pickup/ Special Circumstances Information

Emergency Contact

Allergies/ Precautions

*

Shirt Size

Home Church

*

Please select one option.

First Presbyterian First Christian White Oak Pond Church Other Not a member anywhere

Would you like to be contact about future events and activities?

Please select all that apply.

Yes No

Description

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