Vacation Bible School

July 7-11, 6:30-8:45 PM

The following information will guide you to register your child to register for VBS and to volunteer as a VBS worker.

To work as a VBS Volunteer, email Robin Wintege.




VBS Registration
Child's Name (Required):  
Child's Age:  
Child's Gender:  
Street Address (Required):  
City (Required):  
State (Required):  
Zip (Required):  
Home Telephone (Required):  
Parent/Caregiver's Cell Phone (Required):  
Home Email (Required):  
Last Grade Completed:  
Emergency Contact (Required):  
Mother (Required):  
Father (Required):  
Other:  
Allergies or other
medical conditions (Required):		  
Home Church (Required):  
Comments or Special Needs
(Please be as specific as possible)