Summer VBS Registration

Summer VBS Registration

Camping Out: “Getting S’mores of Jesus”

Dates: Monday June 19 – Friday June 23 :00 p.m. – 8:00 p.m.

Ages: Kindergarten – 5th Grade

Please provide us with the following information:

Child’s Information
Child’s First Name

Child’s Last Name 

Child’s Age

Please select one of the following grade levels you child is entering into
Parent or legal guardian contact information
First Name
Last Name

Address

City

State

Zip Code

Home Phone

Cell Phone

Emergency Contact Number
Secondary Contact Number

E-mail 

Addition Information
Does your child have any special needs or disabilities that we need to be aware of?
Does your child haven any food allergies that we need to be aware of?
Do you have any concerns that you would like us to be aware of?
Person(s) authorized to take child from premises?
How did you hear about this event?
Would you like to be notified of upcoming children events?
yes
no
Submitting form will bring you back to our home page. Thank you for registering your child for Grace Life Vacation Bible School.