Dive in with us over the summer during the week of July 24th to July 28th for our "Submerged Vacation Bible School"! This opportunity for all children ages 3 through those who just completed 5th grade(children must be potty trained!)

Child's Name *
Child's Name
Birthday *
Birthday
Parent/Guardian's Name
Parent/Guardian's Name
Home Address *
Home Address
Home Phone *
Home Phone
Cell Phone
Cell Phone
Emergency Contact
Emergency Contact
Emergency Contact Phone Number
Emergency Contact Phone Number