VBS Sign-Up

VBS "On The Case" Sign-Up 2022

Vacation Bible School
June 27 - 30, 2022. 9 am to noon.
Thank you for filling out this form completely. In the "Child" field, please include all requested information, and the child's top choice in each elective category.

- A. Parent Last Name*
- B. Parent First Name*
- Today's Date
  
  MM
  
  DD
  
  YYYY
- Your E-mail*
- Primary Phone #*
  
  (###)
  
  -
  
  ###
  
  -
  
  ####
- Secondary Phone #
  
  (###)
  
  -
  
  ###
  
  -
  
  ####
- Your Address*
  
  Street Address*
  
  Address Line 2
  
  City*
  
  Province / State / Region*
  
  Postal Code / Zip
  
  Country*
- Church You Attend
- How did You hear about us?
ATTENDEE INFORMATION
- FIRST CHILD 3 yrs.-K:
  First & Last Name/Age
3-K will rotate between music, crafts & Bible Lessons
- SECOND CHILD 3 yrs.-K:
  First & Last Name/Age
3-K will rotate between music, crafts & Bible Lessons
- FIRST CHILD 1st-3rd Grade:
  First & Last Name
- Grade Child is Entering
- 1st Elective
  Please choose one elective in this category
- 2nd Elective
  Please choose one elective in this category
- SECOND CHILD 1st-3rd Grade:
  First & Last Name
- Grade Child is Entering
- 1st Elective
  Please choose one elective in this category
- 2nd Elective
  Please choose one elective in this category.
- FIRST CHILD 4th-6th Grade:
  First & Last Name
- Grade Child is Entering
- 1st Elective
  Please choose one elective in this category
- 2nd Elective
  Please choose one elective in this category
- SECOND CHILD 4th-6th Grade:
  First & Last Name
- Grade Child is Entering
- 1st Elective
  Please choose one elective in this category
- 2nd Elective
  Please choose one elective in this category
- Print Medical/Liability Release
  If you have a printer, submit this form and then go back up to "Ministries" then "Kids" then "Medical/Liability Release" print and fill out 1 form for each child to bring with you.
- Your Name
  
  First Name
  
  Last Name