2014 VBX Registration
June 15th - 20th

 

Join us for Wilderness Escape: Where God Guides and Provides.  Children will learn to trust God as they travel through the wilderness with Moses and the Israelites on their journey from Egypt to the Promised Land.  


Please pre-register your child by completing the online registration form or by calling the church office.

Parent's Name *
Parent's Name
Parent Phone Number *
Parent Phone Number
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
List participants age 4 and up and volunteers under 18 from same family and address
Child 1 *
Gender *
Do you have a friend you would like to be placed with? If so, who?
Do you have a friend you would like to be placed with? If so, who?
Child 2
Gender
Do you have a friend you would like to be placed with? If so, who?
Do you have a friend you would like to be placed with? If so, who?
Child 3
Gender
Do you have a friend you would like to be placed with? If so, who?
Do you have a friend you would like to be placed with? If so, who?
Child 4
Gender
Do you have a friend you would like to be placed with? If so, who?
Do you have a friend you would like to be placed with? If so, who?