2023 Vacation Bible School Registration

We look forward to helping children in our community grow in their walk with Jesus this summer! To help us better plan for the event, please fill out the registration form below. If you have more than 3 children, please submit another form.

Don't forget to invite your friends!

Logistics

Dates: Monday, 6/26 - Friday, 6/30

Times: 6pm-8pm

Ages: 4-12 years

Address: 140 Seneca Rd, Benton Harbor

Location notes: Our church is located at the corner of Colfax and Seneca. Parking is off of Seneca. VBS will be held in the school building, marriage seminar to be held in the church.

Registration

Child's #1 Name

Child's #1 Age

Child #1 Birthdate

Child #1 Allergies/sensitivities we should know about

Child #2 Name

Child #2 Age

Child #2 Birthdate

Child #2 Allergies/sensitivities we should know about

Child #3 Name

Child #3 Age

Child #3 Birthdate

Child #3 Allergies/sensitivities we should know about

Address

Parent or Guardian's Name

Parent/Guardian's Phone

Parent/Guardian's Email

Emergency Contact Name (if different than parent or guardian)

Emergency contact phone (optional)

Do you want us to release your child only to certain specific people following the program each night?

Yes No

If yes, who?

How did you hear about VBS? (Check all that apply) Street sign Postcard Friend/family Church Radio Facebook/Instagram Other