Fort Caroline Christian Church

VBS 2019 Registration Form

July 22nd - 26th | 9am - Noon

Entering 1st Grade - Entering 9th Grade

Child's first and last name and grade entering: *
Parent/Guardian Name(s):*
Phone Number:*
Additional Phone:
Email Address:*
Address: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Allergies or other medical information that our volunteers should know about:
Names of other people authorized to pick up your child: *
Do we have permission to use pictures of your child (without name) in our promotional materials?*
How did you hear about our VBS? *

$5 Suggested Donation