REMINDER: 
YOU ARE FULLY REGISTERED ONCE YOU HAVE COMPLETED BOTH THE
REGISTRATION  FORM TO THE RIGHT AND PAID THE VBS FEE. 
YOU MAY CLICK HERE TO PAY ONLINE OR BRING/MAIL YOUR PAYMENT TO THE CHURCH OFFICE AT 1501 SYCAMORE. THANK YOU!

Child's First Name (required)

Child's Last Name (required)

Child's Age (required)

Child's DOB mm/dd/yyyy (required)

Child's Grade for 2017/2018 school year (required)

Child's Shirt Size (required)

Parent's First AND Last Name (required)

Address (required)

Your Email (required)

Phone Number (required)

Emergency Contact (required)

Emergency Contact Phone (required)

Please list all name of people (including parents) who will be picking up/dropping off child (required)

Allergies (if any)

Does your child have any special needs that we should know about?