VBS Camp 2017
Monday, August 14 to Friday, August 18, 2017
Online Registration

Please fill in the form below and click the "Send Registration" button below to send to CBC via email.
Please fill out one form for each child.

*
marks information that is required for registration

My child*:
is entering grade* in Sept, 2017.
Birthdate
*
MM/DD/YY      Male Female
Full Address*:
     City*: State*: Zip*:
Home* Telephone:
Emergency* Telephone:
Please add an emergency contact's name and relationship to child/family, different from above.
Allergies or Special Needs*:
Church:
(if any)
Parents' Name(s)*:
How did you hear about our VBS Camp?
To have a copy of your registration emailed to you, please enter your email address (see privacy policy below)
Email
Address
:
   
Please check this box if you'd like us to notify you
about other children & family programs we offer.


Please enter your email address above to receive
an email confirmation of your registration.
[see privacy statement below]


Adult Bible Class

Yes, I will be attending the adult Bible class some or all days.
I will need child care for my preschool child during Bible class.


Preschool child care is provided for adults in the Bible class
or adults serving as VBS staff.

Preschooler's Name
Sex
Birthdate
(MM/DD/YY)
M F
M F
M F

If you are registering more than one grade school
child for Vacation Bible School Camp online, you do NOT
need to enter your preschooler's name(s) more than once.

Please DO fill out an online form for each
grade school child you are entering. Thanks.

*
CBC Online Privacy

Information entered above will be sent directly to CBC.
It will be used only by CBC and only for VBS Camp registration.

*

By clicking the Send Registration button below,
the parents/guardians listed above are stating
that they are the parents/guardians as listed above
and/or that the parents/guardians give permission
for the child(ren) listed above to participate in this activity.