Vacation Bible School
July 24 -28
9am - NOON
Registration Form

Child's Name
Child's Age
City
Address
Grade Going Into
State
In Case of Emergency
Allergies
Insurance Company & Policy Number
I do hereby give my permission for my child to attend Crossroads Chapel's Vacation Bible School July 24- 28, 2017.
Name
Date
Submit
Vacation Bible School is for children ages kindergarten through grade 6.
You can pre-register by filling in the form.