Vacation Bible School 2010 Registration Form

Child's Last Name
Child's First Name
Birth Date
Last Grade Completed
Address
City
State
Zip
Parent's Name
Email (confirmation email will be sent here)
Phone
Emergency Contact
Emergency Contact Number
Allergies or other medical conditions
Doctor
Doctor's Phone
Home Church (if applicable)
How did you hear about VBS?


 

 

 

 

 

Sunday Services

10:30am
P.S. 101, 2 Russell Place
Forest Hills, NY 11375

Email

info@discoverascension.net

Phone

718.575.0024