VBS Registration - Peace Lutheran Church

Welcome to the registration page for Vacation Bible School here at Peace!
Please fill out one form per student that you would like to bring to VBS!
We look forward to seeing your child(ren) at VBS!

Vacation Bible School Registration

1. First Name: *
2. Last Name: *
3. Age: *
4. Birthdate: *
5. School Grade (Just completed): *
6. Allergies or other medical information:
7. Parent/Guardian Name: *
8. Address: *
9. City: *
10. State: *
11. Zip Code: *
12. Parent/Guardian Contact Number: *
13. Emergency Contact Name: *
14. Emergency Contact Phone Number: *
15. Church Home:
16. Enter Your Email Address: *