Vacation Bible School Registration

VBS is June 26-28 at UCC, 9 AM to noon. Children ages 4 through 5th grade are welcome.

Use the form below to register your children for VBS:

Your Name

Your Email Address

Your Address

Your Phone Number

Emergency Contact (if we are unable to contact you)

Emergency Contact Phone

How did you hear about our Vacation Bible School?

Were you invited by a member? If yes, please let us know who:

Child 1 Name

Child 1 Age

Child 1 Grade Completed

Child 1 Special Information (Allergies, etc...)

Child 2 Name

Child 2 Age

Child 2 Grade Completed

Child 2 Special Information (Allergies, etc...)

Child 3 Name

Child 3 Age

Child 3 Grade Completed

Child 3 Special Information (Allergies, etc...)

Child 4 Name

Child 4 Age

Child 4 Grade Completed

Child 4 Special Information (Allergies, etc...)

Child 5 Name

Child 5 Age

Child 5 Grade Completed

Child 5 Special Information (Allergies, etc...)

Parent Letter

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