VBS 2018 • Intrepid Christian Church

Vacation Bible School July 9 - 12, 2018

Please complete this registration form and submit your payment via the link on the registration completion page.
Registration costs: $30.00 for the first child, $15.00 for each additional sibling.

PLEASE NOTE: Due to popular demand, as of 05/16/2018, 4 year olds are currently being wait listed. To add your 4 year old to the wait list, please register them, but DO NOT PAY for them. You may register and pay for any children in Kindergarten to 5th Grade. If you have any further questions, please contact jackie@intrepid.church.

Parent/Guardian Information:

Last Name *

First Name *

Email Address *

Phone Number *

Home Address *

Home City *

Home Zip Code *

Mailing Address (if different from above)

Emergency Contact (in the event you cannot be reached)

Name/Relationship/Contact Number *

Child's Information

Child's Name *

Gender *

Age/Grade (entering Fall of 2018) *

Allergies and/or Medical Conditions (if none, type 'none') *

Will you also be registering any siblings? *

If you answered no please scroll down, and click 'Submit.'
If you answered yes please enter the information for each additional sibling.

Additional siblings

Name:

Gender:

Age/Grade (entering Fall of 2018)

Allergies and/or Medical Conditions (if none type 'none')

Name:

Gender:

Age/Grade (entering Fall of 2018)

Allergies and/or Medical Conditions (if none type 'none')

Name:

Gender:

Age/Grade (entering in Fall 2018)

Allergies and/or Medical Conditions