"Sharing the Light of Jesus"

VACATION BIBLE CLUB- APPLICATION FORM
This year we are accepting children who CURRENTLY in the 1st through 5th grade during the 2018-2019 school year.

Note: Please fill in ALL fields and click the SUBMIT button at the bottom of the page. You will be required to upload a recent photo of your child. If you have more than one child that you wish to enroll please SUBMIT a NEW FORM for each additional child.

NOTE: GIVING FALSE INFORMATION COULD FORFEIT YOUR CHILD'S ENROLLMENT IN THIS PROGRAM.

Please fill in ALL fields even if the answer is N/A and use the + sign in place of the @ sign in the email addresses. EXAMPLE: your-email+gmail.com

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