We hope to see you there!

Please fill out this form to register your child for our Vacation Bible School (one per child).

Fulp Moravian VBS Important Info Below:

Fulp Moravian VBS 2024

Monday, June 17 - Thursday, June 21
Bible School will start at 6:00 pm and end at 8:30 pm.

 

Please fill this form out in its entirety for each child that you are registering for VBS. Thank you!

(*) indicates a REQUIRED field.

    Please enter the child's information below.

    *Child's Name:

    *Child's Gender:

    MaleFemale

    *Child's Age:

    *Child's Date of Birth (mm / dd / yyyy):

    *Last School Grade Completed:

    Please enter the parent information below.

    *Name of Parents:

    *Street Address:

    *City:

    *State:

    *ZIP:

    Home Number:

    *Parent or Caregiver's cell number:

    *Your Email:

    Home Church:

    Please enter in the Emergency Information

    *Allergy or other medical conditions (if none, please type 'none'):

    *In case of emergency, contact:

    *Phone:

    *Relationship to child:

    *List names of who can pick up your child: