VBS REGISTRATION

Vacation Bible School will be July 16th-20th from 6pm-8pm. Our theme will be Twist and Turns and we will be learning about how Following Jesus changes the game! There will be snacks, games, crafts, and more!

Phone

Email

616-696-1630

janelle@cedarspringsbaptist.org

STUDENT INFORMATION

Please fill out the Student information section and submit for each child attending

First Name

Last Name

Birthday

GENDER *

Male

Female

GRADE GOING INTO FALL 2023 *

PRE-K (4 years old and up)

KINDERGARTEN

1ST GRADE

2ND GRADE

3RD GRADE

4TH GRADE

5TH GRADE

6TH GRADE

ALLERGIES OR MEDICAL CONCERNS

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Family Information

*This section only needs to be filled out and submitted once per family

YOUR NAME

NAMES OF ALL CHILDREN YOU ARE REGISTERING

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

EMERGANCY CONTACT

Code

Phone

Code

Phone

RELATIONSHIP TO STUDENT

CHURCH HOME

COMMENTS OR QUESTIONS

Thanks for submitting!

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VBS REGISTRATION

Phone

Email

STUDENT INFORMATION

*Please fill out the Student information section and submit for each child attending*

Thanks for submitting!

Family Information

*This section only needs to be filled out and submitted once per family

Thanks for submitting!

Please fill out the Student information section and submit for each child attending