Mystery VBS Registration

Join us for Mystery VBS June 3-6 5:30pm-8:00pm. All ages 4-12 are invited to a Vacation Bible School of bible lessons, crafts, games, music, and fun! We will be looking at the mysteries of scripture which point us to the Gospel of Jesus.

Child's Name(Required)

First Last

Age(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Dad's/ Guardian's Name

First Last

Dad/Guardian Cell

Mom's/Guardian's Name

First Last

Mom/Guardian Cell

Emergency Contact(Required)

First Last

Emergency Contact Phone(Required)

Alternate Person Allowed to Pick up Child

First Last

Alternate Pick up Phone Number

Alternate #2 Person Allowed to Pick up Child

First Last

Alternate #2 Pick up Phone Number

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