• 410-848-6402
  • 827 Leister's Church Road
  • Westminister, Maryland 21157

Vacation Bible School Registration
(Ages 3 through 5th grade)

Please complete the following form to register a child for Vacation Bible School 2017. You will need to complete this form for each child that will be attending VBS.

** - Indicates required field.

**Child's First Name
**Child's Last Name
**Child's Date of Birth
Child's Last School Grade Completed (as of summer 2017)
-- OR --
Year Child Will Enter Kindergarten
Food/Other Allergies or other medical concerns
If your child needs to be with a certain group leader or friend - or if there is another social issue we should know about - please leave a note here
**Parent's First Name
**Parent's Last Name
**Address
Address Line 2 (Apt, etc)
**City
**State
**Zip Code
**Home Phone
Work Phone
Cell Phone
**Emergency Contact Name
**Emergency Contact Phone Number
** Email Address (to be notified of future children's events via email instead of regular mail)
**The closing VBS program will be held on the last day (Friday) of VBS at 6:30 pm. This is a time when your child can "show off" Bible school songs, crafts and lessons learned with friends made at Vacation Bible School. We encourage you to show support for your child's work all week by attending. Will your child be able to attend the closing program?