On-line registration

 

2009 Vacation Bible School 

Please submit one registration per child.

Your Name (submitter of this form):   First :   Last :
Your email address:
Name of child:   First:    Last:
Child's street address:  
Child's city:  
Child's state:  
Child's zip code:  
Child's home phone:  
Child's Age:  
Child's date of birth:  
Last school grade completed:  

In case of emergency contact:

  Name(s) Phone number(s):

Mother

Father 

Guardian     

  Other 

List any allergies or medical conditions:
Child's home church (if any):  

Name of a special friend that your child would like to be with:

This page was last updated on 06/23/2009.

 

About Celebration  |  Worship Services  |  Calendar  |  Ministry Areas  |  Contact Us 
  Past Events  |  Is Celebration for me?  |  Site Map  |  Home