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Join us for our Vacation Bible School the week of June 17-21st, from 6:00pm-8:30pm at the Columbus City Park!
Please register your child below so that we can prepare for them.
*
Indicates required field
Child's Name:
*
First
Last
Child's Gender
*
Male
Female
Child's Age (if less than 4, they need a parent)
*
Less than 1
1
2
3
4
5
6
7
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12
Date of Birth
Month
*
January
February
March
April
May
June
July
August
September
October
November
December
Day
*
1
2
3
4
5
6
7
8
9
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12
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17
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Year
*
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
Last Grade Completed
*
6th
5th
4th
3rd
2nd
1st
Kindergarden
Pre-K
N/A
Name of Parents/Guardian
*
First
Last
Cell Phone
*
Home Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Home Church
*
Emergency Contact
*
First
Last
Relationship to Child
*
Phone Number
*
Allergies
*
Please list any allergies that your child may have. If none, please enter N/A.
Additional Guardians
*
These are extra people you give permission to pick up your child. If there is no name here, only the parent/guardian listed can pick up your child.
Addition Information
*
Any other information we should be aware of
Child Needs Transportation
*
Yes
No
Phone Number for Pickup
*
Address for Pickup if Transportation is Needed
*
Line 1
Line 2
City
State
Zip Code
Country
Submit
Home
About Us
Leadership
Contact Us
Who are we?
Times and Location
Missions
Church History
What We Believe
Plan of Salvation
Plan of Transformation
Calendar
Upcoming Events
Documents/Policies
Our Governance
Building Use Policy
Benevolence Forms
VBS 2024
Resources
Asking for a Friend
Blogs
Sermons
RightNow Media