VBS REGISTRATION

June 8 – 12

9:00 am until noon daily

Name

Home Address

Parent's Phone Number

Emergency Phone Number

Email Address

Number of Children

Child's Name

Birthday (MM/DD/YYYY)

Grade Just Completed

t-shirt size

2nd Child's Birthday

2nd Child's Name

Grade Just Completed

t-shirt size

3rd Child's Name

3rd Child's Birthday

Grade Just Completed

t-shirt size

4th Child's Name

4th Child's Birthday

Grade Just Completed

t-shirt size

5th Child's Name

5th Child's Birthday

Grade Just Completed

t-shirt size

6th Child's Name

6th Child's Birthday

Grade Just Completed

t-shirt size

List Your Children By Name, Birthday, Grade Just Completed, and T-shirt size

Message

9 + 4 =

Sunday School - 9:45am
Worship - 11:00am | 6:00pm

We are located off Furys Ferry at:
4201 Southern Pines Dr,
Evans, GA 30809