Vacation Bible School 2019 is July 16-19!

This summer’s Vacation Bible School will be July 16-19 from 9:15 to noon.  It’s the time to Get Your Game On!

Vacation Bible School

• Tuesday, July 16—Friday, July 19
• 9:15 am—Noon
• Children, ages 2—11, join us for Bible stories, music and crafts

Ice Cream Social

• Friday, July 19
• 6:00 pm—8:00 pm
• Bring your parents and friends to our joyful Friday night ice-cream-for-dinner event with music & fellowship

For More Information

If you are human, leave this field blank.

VBS 2019 Registration Form

Instructions

Please fill out the form below completely, then click submit. Your registration is not complete until payment is received. Thanks!

Parent\'s Name

Address

City

State

AKALARASAZCACOCTDCDEFLGAGUHIIAIDILINKSKYLAMAMDMEMHMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPAPRPWRISCSDTNTXUTVAVIVTWAWIWVWY

Zip Code

Phone

Email

Emergency Contact Name

Relationship

Primary Emergency Phone

Secondary Emergency Phone

Food Allergies/Other Information

How did you hear about us?

Number of 2 Year Olds

0

1

2

Children must be 2 years old as of July 1, 2019 to participate. Class size: 10 children. If class is full, we will add you to our waiting list.

Number of 3 Year Olds

0

1

2

For children born between July 1, 2015 and June 30, 2016.. Class size: 12 children. If class is full, we will add you to our waiting list.

Number of 4 Year Olds

0

1

2

For children with birthdays between July 1, 2014 and June 30, 2015. Class size: 15 children. If class is full, we will add you to our waiting list.

Number of Kindergarteners

0

1

2

For children entering Kindergarten or K-Bridge who will be five years old on or before July 1, 2019. For children entering K-Bridge who will not be 5 years old by July 1st, 2019, please register for the 4 year old class. Class size: 20 children. If class is full, we will add you to our waiting list.

Number of 1st and 2nd Graders

0

1

2

For children entering 1st or 2nd grade in Fall 2019. Class size: 15 children. If class is full, we will add you to our waiting list.

Number of 3rd and 4th Graders

0

1

2

For children entering 3rd or 4th grade in Fall 2019. Class size: 15 children. If class is full, we will add you to our waiting list.

Number of 5th and 6th Graders

0

1

2

For children entering 5th or 6th grade in Fall 2019. Class size: 15 children. If class is full, we will add you to our waiting list.

Name of Child 1

Date of Birth 1

Name of Child 2

Date of Birth 2

Name of Child 3

Date of Birth 3

Name of Child 4

Date of Birth 4

Submission of form constitutes your signature

Yes, my child’s picture may be used promotional materials (names will not be disclosed)

No, please do not use pictures of my child.

I would like to help in some way!

Contact me, please

Submit