New Hope CRC Vacation Bible School 

Registration

  July 18 - 22rd - 6:30 - 8:30 pm 

(BBQ Celebration starts at 6pm on Friday, July 22rd)

You may register on-line by completing the form below or call 509-325-4882 to register by phone.

Use the "Tab" key to move through the fields.  DO NOT press "Enter" or click "Submit" until finished (if you do, just click "Return to Form" and start again :).  )

Please complete all fields:  

Family Last Name    

 

Children enrolling in VBS  - ages 4 years old through 6th grade

 # 1 First Name:      # 1 Grade (Fall 2010)  

     # 1 Allergies / Medical Concerns:

 # 2 First Name      # 2 Grade (Fall 2010)

     # 2 Allergies / Medical Concerns:

 # 3 First Name:    # 3 Grade (Fall 2010)

     # 3 Allergies / Medical Concerns:

 

  Address   

  City:              State:     ZIP: 

  Home phone                 Alt. phone

  Parents’ Names    

  Church Currently Attending:

  E-Mail address      

  How did you hear about VBS? (Check all that apply)

  Attended previous year                        Website                                    Mailing

  Neighborhood canvas                          Invited by friend                    Newspaper

  Sign in front of Church                         Poster in Grocery Store   

  Other: