User Log On
VBS 2017 Registration

VBS 2017 Registration Form

Please complete this form for all children attending VBS from your household. If you would like to register more than four children, please do so by calling the church office at 318-747-0089, Tuesday-Thursday, 8:30 a.m. to 1:30 p.m.

VBS Schedule: Sunday, June 25 through Thursday, June 29 from 6:00 p.m. to 8:30 p.m.

Parent/Gardian's Name*
Home Address*
City, State, Zip*
Phone Number
Child 1 Name*
Child 1 Grade Completed
Child 2 Name
Child 2 Grade Completed
Child 3 Name
Child 3 Grade Completed
Child 4 Name
Child 4 Grade Completed