Vacation Bible School Registration
Register for VBS by filling out the information below:
Child's First Name
Child's Last Name
Home Phone Number
Parent's / Guardian's Cell #
Parent's / Guardian's Email Address
First & Last Name of Parent / Guardian
Street Address
City
State
Choose one:
Delaware
New Jersey
Pennsylvania
Zip Code
Child's Genter
Boy / Male
Girl / Female
Child's Date of Birth
Child's Grade as of May 15th this year.
Choose one:
Pre-School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Please let us know if your child has any life threatening allergies or if there are any custodial issues of which we should be aware.
REGISTER
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