Preregister your child(ren) for Time Lab, our 2019 Vacation Bible School program, June 24-28.


Child's Name (required)

Child's Gender (required)

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)

If yes, list food allergies:

Medical Concerns (required)

If yes, explain medical concerns:

I would like to receive emails about upcoming children's events at Grace Baptist Church. (required)