Classes are available for Children who are Pre-K or who just completed Kindergarten through Fifth Grade.

Register a VBS Child (* required fields)

Child Name: * Male Female
Date of Birth: * Month Day
   
Year
Parent or Guardian Names:
* enter at least one name 		Father

Mother
Guardian
Parent/Guardian Email:
Address: * Street Address :
City:
State:
Zip:
Subdivision/Complex:
Home Phone:
Work Phone:
Cell Phone:
Last Grade Completed: *
NOTE: At least one parent of a pre-K child must stay on the church campus.
Do you attend church more than one Sunday a month? Yes
No
If so, Where?
MEDICAL OR OTHER INFORMATION WE NEED TO KNOW (PLEASE INCLUDE ANY FOOD ALLERGIES):
Whom should we contact in an emergency? * Fill in at least one name and number Name:

Phone number:

Name:

Phone Number:
Who may pick this child up at the end of each VBS day (list one or more people): * List at least one person

I would like more information on:

Backyard Bible Clubs
Upward Sports
Awana
Preschool Ministry
Youth Ministry
College Ministry
Adult Ministry
Senior Adult Ministry
Women's Ministry
Beth Moore Bible Studies
International Bible Studies
International Conversational English