2017 Vacation Bible School Registration
Please fill out this form and click submit.
Daytime Sessions: July 31 - August 4 from 9:00 - 11:30 AM
OR Evening Sessions: August 1 - August 3 from 6:00 - 8:00 PM
Child's Name
*
Birthdate
*
Grade this Fall
*
Please select one option.
Pre-school
Kindergarten
1st
2nd
3rd
4th
5th
6th
Parent's Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Cell Phone
*
Email
*
This address will receive a confirmation email
Emergency Contact (Name/Phone Number):
*
Allergies/Medical Concerns:
*
Home Church
Plan to attend Sessions in the:
*
Please select one option.
Mornings
Evenings
I would like more information on:
Please select all that apply.
Worshipping at Cascade Christian
Christian Education
Cascade Christian Child Development Center
I would like a call from the pastor
How did you hear about our Vacation Bible School?
*
Please select one option.
My child has attended before
Friend referral
Post card
Yard Signs
Other
Submit
Description
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