Vacation Bible School

August 4-8 | 9 AM – 12 PM

There are just a few spots left for kids ages 3-rising Kindergarten.

We’ve reached capacity this year for grades 1-5, but please feel free to email Erin Leghorn if you’d like to be placed on the waitlist or to check for any cancellations:Erin Leghorn.

Cost: $25 / child –registered but not paid? Pay below:

Pay Here

Child Name *

First

Last

Date & Year of Birth *

Age or Grade Child is entering in the fall *

Three years old
Four years old
Five years old
Kindergarten

Parent/Guardian Name *

First

Last

Address *

Address Line 1

City

State

Zip Code

Phone *

Email *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Please list names of those allowed to pick up your child:

Please list any known allergies or put "none"

Does your child carry an Epi Pen?

If yes, please give instructions for usage below:

List any dietary restrictions:

List any activities your child should be restricted from:

If your child has a health issue, please give special instructions if any are needed (such as "my child uses an inhaler").

T-Shirt Size *

Digital Signature *

First

Last

Vacation Bible School

August 4-8 | 9 AM – 12 PM

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