VBS Registration

New Living Hope Church, Passport to Peru ,VBS 2017

We are accepting 4 years old entering Kindergarten in the fall to kids just finishing 6th grade

Child Registration

Child Info

* Indicates required field

Name *

First

Last

Birthday *

Day *

Year *

Age *

Male or Female *

Last Grade of School Completed *

Contact Info

Parents Names *

(Area Code) Cell Phone *

(Area Code) Home Phone *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

How did you hear about us? *

Submit

Download theMedical Release Form ( Important)

To expedite registration, please fill out and print off the Medical Release Form and bring it with you when you come. If you forget it, we will have them available at the registration table.