2018 Vacation Bible School Registration
Please fill out this form and click submit.
Daytime Sessions: August 6 - August 10 from 9:00 - 11:30 AM
OR Evening Sessions: August 7 - August 9 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(s)
*
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
Phone Number
*
Email
*
This address will receive a confirmation email
Emergency Contact:
*
Allergies/Medical Concerns:
*
Home Church
Plan to attend sessions in the:
*
Please select one option.
Morning
Evening
I would like more information on:
Please select one option.
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
If Other, how did you hear about our VBS?
Submit
Description
Please fill out this form and click submit.
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