VBS REGISTRATION

Our summer VBS is offered for those who are 5 by September 1, 2023 up to those who will be entering 6th grade in 2023. VBS is June 25th thru June 29th 2023.

VBS Registration Form

Please fill out the form below. Thank you

Child's Name

Child's Birthdate

Last Grade Completed (2022/2023 School Year)

Child 2 - Name

Child 2 - Birthdate

Child 2 - Last Grade Completed (2022/2023 School Year)

Child 3 - Name

Child 3 - Birthdate

Child 3 - Last Grade Completed (2022/2023 School Year)

Child 4 - Name

Child 4 - Birthdate

Child 4 - Last Grade Completed (2022/2023 School Year)

Parent/Guardian Name

Address

Parent/Guardian Cell Number

Parent/Guardian Email

Other Information: Is there anything important that we need to know about your child(ren)?
(Please include any food allergies– be sure to designate which child)

Emergency Contact Name 1 (other than listed above)

Emergency Contact 1 (other than listed above)

Emergency Contact Name 2 (other than listed above)

Emergency Contact 2 (other than listed above)

May we have permission to photograph your child for our Closing Program?

Yes No

Parent/Guardian Permission

I give my permission for my child/children to attend Vacation Bible School at Word of Life Chapel.

Transportation Permission

They also have my permission to ride the bus providing transportation in the Bainbridge area.

VBS REGISTRATION

VBS Registration Form

Please fill out the form below. Thank you

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