Vacation Bible School Registration

Vacation Bible School 2017

June 19 - 23, 2017
6:30 - 8:30 pm

Children will have a great time with storytelling, mission stories, crafts, music,
recreation and snacks.

Who can attend: children ages 3 thru 5th grade

If you have questions please contact the church office at 402-477-3401.

* Indicates required field

Parent/Guardian Name *

First

Last

Email *

Phone Number *

Child(ren) Information

Name of 1st Child *

First

Last

Age and/or Grade of 1st Child *

Name of 2nd Child *

First

Last

Age and/or Grade of 2nd Child *

Name of 3rd Child *

First

Last

Age and/or Grade of 3rd Child *

Additional Children Attending (Name, Age/Grade of each) *

Please note any allergies or special needs below: *

Please provide your consent or refusal of photographing of your child. *

Yes, I give consent for staff at Heritage to photograph my child for use in future print or web use. No, please exclude my child from photos.

Additional Questions/Comments: *

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Vacation Bible School 2017

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