2022 VBS Registration

June 12-16, 6:00-8:15 PM | Please fill out this form and click submit.

Vacation Bible School is coming to Marion Road Christian Church! By exploring God's awesomeness, kids form a rock-solid faith for the road ahead.

VBS is open to kids 3 Years Old - Entering 5th Grade in the fall of 2022.

If you have any questions or need help submitting this form, please contact Whitney at office@marionchurch.com.

Child Information

First Name

*

Last Name

*

Child's Gender

*

Please select one option.

Male Female

Date of Birth

*

Age/Grade Entering Fall 2022

*

Please select one option.

3 years old 4 years old Kindergarten 1st 2nd 3rd 4th 5th

Allergies/Special Needs

Additional Comments

Parent/Guardian Information

First Name

*

Last Name

*

Email

*

This address will receive a confirmation email

Address

*

Phone

*

Are you the child's emergency contact?

*

Please select all that apply.

Yes No

Additional Emergency Contact Information

If someone other than the parent should be listed as an emergency contact, please enter the information below.

First Name

Last Name

Phone

Relationship to Child

Additional Comments

Description

June 12-16, 6:00-8:15 PM

Please fill out this form and click submit.

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