VBS Student Registration
 
VBS Student Registration
Location: Mt Rock Church (22 Mt Rock Rd, Shippensburg, PA)
Dates: Mon, June 25 - Thur, June 28, 2018
Times: 6pm - 8pm
Ages: Preschool (age 3) - 5th grade
Child's Name  * 
Child's Birthday  * 
Grade Completed
Parents' Names  * 
Home Address  * 
Allergies / Medical Needs
Home Church
Emergency Contact Name  * 
Emergency Contact Phone Number  * 
Additional Contact Name/Phone Number
Your Email Address  * 
 
 
Powered by E-zekiel Giving