2021 ECC VBS Registration Form

Register me for Wilderness Escape VBS!
Sunday, July 11th - Thursday, July 15th
6:00 PM-8:00 PM
(Registration start at 5:45 PM)

Preschool (age 4/potty trained) thru 5th grade (just completed).

Child's Name:

Age:

Grade this Fall:

Address:

Phone:

Parent Name:

Email:

This address will receive a confirmation email

Emergency contact:

Emergency contact #:

Special Needs or allergies:

I give my permission for my child to attend Eastview Christian Church VBS. Please type in signature.

I give permission for ECC to use my child's picture in VBS and children's ministry promotion.

I agree I disagree

Description

Please fill out this form and click submit.