2024 EVENING VBS Registration

How Many Children Will Be Attending? *

Parent Name 1 *

First

Last

Parent Name 2

First

Last

Parent's Phone *

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Sitter's Name

First

Last

Sitter's Phone

Emergency Contact Name *

First

Last

Emergency Contact Phone (copy) *

There is no bus transportation for the evening Vacation Bible School.

Arrival and Pickup Info *

Any other Comment or Message that Bible Presbyterian Church needs to know about your child/children?

Please solve the math problem below to verify you are human. *

What is 7+4?

Child 1