Registration Summer VBS: Aug 5-9, 9:00-11:30
Parent Name *
Address, City, Zip*
Phone*
Child's Name/Entering Grade (age if not in school)*
Child's Name/Entering Grade (age if not in school)
Child's Name/Entering Grade (age if not in school)
Does your child have any allergies or medical condition? Please list them here.*
Emergency Phone*
How did you hear about VBS at Immanuel? Please click ALL that apply.
 Facebook
 Attended in the past
 From a friend, acquaintance, etc.
 From a member of Immanuel
 Newspaper Ad
 Immanuel's Website
 Invitation by Mail
 Banner by the road
 Other
Church Affiliation
Email for Confirmation.*


Submit

"Let the Word of Christ dwell in your richly." ~ Colossians 3:16