Independent Bible Church - VBS Registration

Vacation Bible School

VBS 2019 Registration Form

Use this form to register your children for our VBS Ministry this year.
Pre-School through 6th grade

Parents
or Guardian

Father's Name:

Mother's Name:

Address

Street Address:

City:

State:

Zip:

Communication:

Home Telephone:

Father's Cell Phone:

Mother's Cell Phone:

Email Address:

Emergency Contact:

Emergency Contact Tel:

General Info:

Home Church:

Who brings you to VBS?:

Insurance:

Carrier / Policy #:

Enter 6 character authentication code: