July 6-10th Vacation Bible School

$10 per child/$25 per family Payable at the door on the day of arrival.

Financial assistance available upon request

* Indicates required field

Parent/Guardian Name *

First

Last

Phone Number *

Email *

Address *

Child's Name *

Date of Birth *

Gender *

Male Female

Second Child's Name *

Date of Birth *

Gender *

Male Female

Third Child's Name *

Date of Birth *

Gender *

Male Female

I give my consent for my child(ren) to have their picture posted for promotional purposes only *

Yes No

Please list any allergies or dietary restrictions *

2020 Vacation Bible School july 6-10th