Vacation Bible School | New Life PCA – New Life Presbyterian Church (PCA)

Vacation Bible School (VBS) Registration Form

Parent/Guardian Contact Details

Parent/Guardian Name(Required)

First Last

Parent/Guardian Email(Required)

Enter Email Confirm Email

Parent/Guardian Phone(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

2nd Parent/Guardian Name

First Last

2nd Parent/Guardian Phone

Any other names you authorize to pick up children after the program? Please list name(s) & phone number(s)

Child's Information

Child's Name(Required)

First Last

Child's Age(Required)

Child's Most Recent Grade Level of Completion(Required)

Any additional children you want to register? List their first & last name(s) and their age

Any security/custody issues we need to be aware of? If yes, please explain(Required)

Any allergies we should be aware of? (List additional children's allergies if nexessary)(Required)

Any behavior challenges we should be aware of to ensure your child's success? (List additional children's challenges if necessary)(Required)

Do you have a home church you currently attend? If so, please list the name

How did you hear about New Life VBS?

New Life Presbyterian Church (NLPC) may capture photos or videos of this event, which may include your child/children. Do you hereby grant NLPC the right to use these photographs or video?(Required)

Yes

New Life
Presbyterian
Church

Vacation Bible School | New Life PCA

Vacation Bible School | New Life PCA

Vacation Bible School (VBS) Registration Form

Parent/Guardian Contact Details

Child's Information

SERVICE TIME

Sunday morning worship begins at 10:00

970 Cape Horn Rd. York, PA 17402

(717) 855-2360

office@newlifeyorkpca.com

Contact Us

We will respond as soon as possible