2024 Vacation Bible School Registration

Thanks for wanting to be a part of Vacation Bible School 2024! We’ll be going down to “Breaker Rock Beach” to learn about God’s truth and to have a fun time. Please fill out this form and we’ll see you in July!

Sunday, July 21 through Wednesday, July 24 5:30 PM – 7:50 PM
Meals are included!

Kids will participate in:
-Worship Rally
-Music
-Recreation/Games
-Bible Study
-Arts and Crafts

There is no cost – all are welcome! Please email Wes Richardson with any questions.

[email protected]

Your Email

Child's Name -1

First Last

Child's Name -2

First Last

Parent-Guardian Name

First Last

Mailing Address

Street Address Address Line 2 City State ZIP / Postal Code

Cell Phone

Can we use the above Cell Number for texting?

Yes

Child's Birth Date -1

Child's Birth Date -2

Last School Grade Completed -1

Last School Grade Completed -2

Medical Information (Please include any food allergies)

Emergency Contacts (Other than listed above)

If more than 2 Children, pls enter in this box the same information for this/these children below.

A copy of your responses will be emailed to the address you provided.