VBS Registration

Session Date & Times:

Evening Class is July 11-15, 6:30-8:30 pm
Morning Class is July 12-16, 9:30-11:30 am

Register Now to save your seat on the trip! Simply fill in the form below and submit it to our staff! Please call the church at 614-538-1050 to reserve childcare during the parenting class if needed for ages 0-4.

Parent Information:
Names or Parent(s)/Guardian(s):
Address:
City:          State:       Zip:
Email:
Name of Church affiliation (if any):
Conctact phone number during VBS Session:

                            Interested in a Parenting Class? Yes     No

Emergency Contact Information: (If Parent can not be reached)
Name of Emergency Contact Person:
Emergency Contact phone number:

Child Registration Form:
Child Name	Gender	B Day	Grade	Special Needs Medical or Allergy	Session
	M / F				M / E
	M / F				M / E
	M / F				M / E
	M / F				M / E
	M / F				M / E