There are two ways to register.
You may print out the registration form after downloading it from here: VBS Flyer and Registration Form
or you can complete and submit the registration form below.

Child's Full Name (required)

Child's Age (required)

Grade Completed (required)

Parent's Full Name (required)

Authorized Person(s) to pick up child (required)

Street Address (required)

City, State Zip (required)

Your Email (required)

Phone Number (required)

Alternative Phone Number (required)

Alternative Person to be Notified in case of Emergency (required)

Alternative Emergency Phone Number (required)

Child's Physician (required)

Physician Phone Number (required)

Allergies (if any)

Any additional information you would like to provide

How did you hear about us? (required)
Family/FriendChurchWebsite/Search EngineRadioNewspaperPoster

Do you attend church regularly?
YesNo

If so where?

I consent that my son/daughter has permission to participate in the planned activities of the Vacation Bible School Program of Grace Bible Fellowship Church, 100 E. Beil Avenue, Nazareth, PA 18064 during the week of June 24th – 28th, 2019. I consider my son/daughter to be physically fit and able to participate in the activities. I agree not to hold Grace Bible Fellowship Church, the Vacation Bible School staff, or anyone accompanying the group responsible for any accidental injury to the above named child/young person. By signing below, I agree to the above and permit Grace Bible Fellowship Church to use photographs taken of my child at VBS in any publication, advertisement, or other display.
I Agree

Submission is successful if you get the green "Your message was sent successfully" notification after clicking "Send". You will also receive a copy of the completed form in your email.

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