Register Your Child

We are offering dinner again this year, but it will be BEFORE the evening's VBS activities begin. Any students eating dinner will need to arrive at 5:00, and MUST have completed the RSVP.

We found some errors when you submitted your information. Please see below and fill in the information needed.

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):

RSVP for Meals via QR code you will receive in an email after registering.:

Students will be grouped according to their completed grade levels only. Special circumstances MUST BE REQUESTED IN ADVANCE AND ARE AT THE DISCRETION OF THE DIRECTOR.:

5th graders will NOT BE PERMITTED to attend the field trip on Weds. August 6th if a signed waiver has not been handed in to the director (Whitney Benedetto) by Tuesday August 5th by 5:30pm.: