VBS Registration

top of page

Use tab to navigate through the menu items.

Vacation Bible School
July 12-16, 2023
Online Registration

Child's First Name

Child's Last Name

Parent/Guardian

Address

Phone

Email

Birth Date

Last grade completed

Medical information/allegies?

EMERGENCY CONTACT

Thanks for registering your child!

6361 Pony Express Trail

PO Box 59

Pollock Pines, CA 95726

530-644-2133

bottom of page