2018 VACATION BIBLE SCHOOL REGISTRATION

Children ages 4 through rising 5th graders (2018-19).

Registration fee $20.00 per child - maximum $50.00 per family - due July 16.

Cash or personal check made payable to: Eastbridge Presbyterian Church.

Name *
Name
Birthdate: *
Birthdate:
Parent/Guardian's Name: *
Parent/Guardian's Name:
Best Number to Reach You: *
Best Number to Reach You:
Emergency Contact: *
Emergency Contact:
Best Number for Emergency Contact: *
Best Number for Emergency Contact:
Have you ever attended VBS at Eastbridge?
Check one:

Please submit a form for each child.