VBS Online Registration


Vacation Bible School

June 5 - 9, 2017
9:00 a.m. - Noon
Preschool: Ages 3, 4, 5 (Not entering Kindergarten)
Elementary: Kindergarten through 5th Grade (Fall 2017)
One Registration Form Per Child
To ensure your online registration has been received,
you will receive an email confirmation within 5 days of submission.
Lauren Bates, Director of Christian Education.

 
 

Child's Name (First & Last):

Child's Age:

Date of Birth (mm/dd/year):

Grade Entering Fall 2017:

Potty Trained: At this time we are unable to accept children that are not potty trained and in diaper, unless they are needed for medical use.

Yes      No    

Gender:

Boy     Girl

Parent(s) Name:

Street Address:

City, State, Zip:

Home Telephone with area code:

Parent/Caregiver Cell Phone:

Home E-mail Address:

In Case of Emergency, Contact (Name/Number):

Relationship to Child:

Allergies or Other Medical Conditions:

Home Church:

Registered with the school for St. Mark's Before/After care during V.B.S. week?

Yes-Before
Yes-After
Yes-Both
No

Friend Request: Your child may request 1 friend in their class of the same grade. Friend requests can only be accepted until June 1st. We will do our best but cannot guarantee friend requests after this date.