Registration for Vacation Bible School

age 3 - grade 4


To streamline the checkin process, please pay online with PayPal now ($1.00 surcharge will apply to offset associated costs) or drop payment off to the church office or to the programs box at either church location.

Parent's Names:

Address:

City:

State:

Zip:

Phone:

Cell Phone:

During VBS I Can be Reached At:

E-Mail Address:


I would like to help by:

Child 1:

Date of Birth:

Age:

Grade just Completed:

Allergies & Medical Conditions:


Child 2:

Date of Birth:

Age:

Grade just Completed:

Allergies & Medical Conditions:


Child 3:

Date of Birth:

Age:

Grade just Completed:

Allergies & Medical Conditions:


Child 4:

Date of Birth:

Age:

Grade just Completed:


Allergies & Medical Conditions:

I give Trinity permission to use my child(ren)'s picture(s) in media publications: Yes No