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Vacation Bible School Registration

Register here for Vacation Bible School! Our registration process is secure and completely safe. The cost for this year's VBS is $15.00 per child with a maximum of $40.00 per family if registered by June 3, 2008. After June 3, 2008, it is $20.00 per child if space is available.

Each family will receive one free music CD upon registration. You may pick it up in the church office.

Secure Registration

Amount (ex. 15.00)
Fund
Parent (Guardian) Name(s)
Home Phone
Work Phone
Cell Phone
E-Mail Address
Local Emergency Contact Name
Local Emergency Contact Phone
Member? (Y/N)

Child #1 Name
Child #2 Name
Child #1 Birthdate
Child #2 Birthdate
Child #1 Grade in Sept. 2008
Child #2 Grade in Sept. 2008
   
Child #3 Name
Child #4 Name
Child #3 Birthdate
Child #4 Birthdate
Child #3 Grade in Sept. 2008
Child #4 Grade in Sept. 2008

List any food allergies we should know about:

Persons (other than parent/guardian listed above) who have permission to pick up my child:

Is there anyone not legally allowed to pick up your child? If yes, please provide name:
 
Do we have permission to use your child's picture in future brochures, website ads, and other church publications? Please indicate Yes or No.
 
Did you sign up to volunteer for Vacation Bible School - all week or part of the week? (Y/N)

Secure Merchant Account Credit Card Processing.Merchant Account

 

 

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