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Sign-up for VBS

Parkview will be having our Vacation Bible School July 25, 26, & 27 (Tues., Wed. and Thurs.) 9:00 a.m. to noon. We would love for your child(ren) to come and be a part! Please fill out the basic information below to sign your child(ren) up!

* Indicates required field

Child's Name *

First

Last

Parent/Guardian Information

Parent or Guardian's Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Cell Number *

2nd Number *

Child's Information

Child's Birth Date (Month, Day, Year) *

Last Grade Completed in School *

Medical or other information we need to know. If none, please write "none" (please include any food allergies) *

Emergency Contacts

Emergency Contact 1: *

First

Last

Phone Number *

Emergency Contact 2: *

First

Last

Phone Number *

Dismissal Information

Who may pick up your child at the end of each day? *

Other Information

Do you attend church, if so where? *

May we have permission to photograph your child? *

Yes No

May use your child's photograph in promotion? *

Yes No

If you have questions or need more information, write us a brief note so we can better help you. *

Submit