Register Your Child

Please join us as we take an Epic Australian Adventure! Ages 3-8th grade. We will take an unforgettable Journey with Jesus Monday-Thursday. We will wrap up our adventure on Friday with a pool party!!

Dinner will be served Monday-Thursday please RSVP below AFTER you have completed your VBS registration.

https://forms.gle/8Rw6RnAWf1taMfat8

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Parent Personal Information

Parent First Name:

Parent Last Name:

Address 1:

Address 2:

City:

Country:

State:

Zip:

Email:

Re-Enter Email:

Home Phone Number: (xxx-xxx-xxxx)

Cell Phone Number: (xxx-xxx-xxxx)

Other Phone Number: (xxx-xxx-xxxx)

Emergency Contact

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Phone 1: (xxx-xxx-xxxx)

Emergency Phone 2: (xxx-xxx-xxxx)

Alternate Pickup First Name:

Alternate Pickup Last Name:

Alternate Pickup Phone: (xxx-xxx-xxxx)

Other Information

Home Church (If Applicable):