Preschool & Elementary VBS - Maker Fun Factory

Registration Fee is $20 per child / $45 max per family This includes one music CD per family and one t-shirt per child


First Name
Last Name
Gender
Birthday (m/d/y)
Age
School Grade just completed - use child's age for preschoolers
Address
City
State
Postal Code
Email Address
Home Phone
Date Signed (m/d/y)
Signature - typing your name here signifies authorization.
Allergies, Medical Condition, Disabilities


Emergency Contact Name & Phone
Friend you want to be with
Church you regularly attend
T-shirt size - Sizes not guaranteed after June 4th


For Online Payment Click Here - Don't forget to also click submit on this form




Are Required Fields