Preregister your child(ren) for Operation Arctic, our 2018 Vacation Bible School program, July 9-13.

 

Child's Name (required)

Child's Gender (required)
MaleFemale

Child's Birthdate (required)

Grade Completed in June (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Name of Parents or Guardian (required)

Home Phone

Cell Phone

Email (required)

Emergency Contact (if other than Parent or Guardian)

Relationship of Emergency Contact to Child

Emergency Contact Phone

Please Place My Child with...

Home Church

Home Church City

Food Allergies (required)
YesNo

If yes, list food allergies:

Medical Concerns (required)
YesNo

If yes, explain medical concerns: