Use this form to register your child online for VBS 2008 - "Power Lab" at Victory Church. 

VBS dates are July 16-18.

If registering more than one child, please submit a separate form for each.

If you would prefer to fill out the form and bring it to the church, click here for the PDF version.

VBS 2008 ONLINE REGISTRATION FORM

NAME:  

ADDRESS:  

CITY:     STATE:     ZIP:  

PHONE:

EMAIL:

AGE:   BIRTHDAY:

IN CASE OF EMERGENCY, CONTACT:

    MOTHER:

    FATHER:

    OTHER:

ALLERGIES OR OTHER MEDICAL CONDITIONS:

HOME CHURCH:

CREW NUMBER (FOR CHURCH USE ONLY):  

NAME OF FRIEND YOUR CHILD MIGHT LIKE TO BE WITH: 

 

Send mail to stilly@victorycmchurch.com with questions or comments about this web site.
Last modified: 07/20/2008