Thank you for choosing to complete the online registration form for Vacation Bible School 2008.  Vacation Bible School runs July 27-31 from 6:00-8:45 pm, and is for children from 2 years through fifth grade.  Please answer all of the questions below and click submit when you are finished.



Last Name:     First Name:

Birthdate:     Age     Grade Completed:

School:

Address

Allergies or other Medical Concerns: 

How Did you Hear about CHCC's VBS? 
Friend    Sign    Drive-by    Post Card     Website     Other

Please Check One

Member of CHCC      Guest   Home Church

Name of Parent/ Guardian (last, first):

Evening Phone Number:

Secondary Emergency Contact Number: