Vacation Bible School Registration - July 22-26, 2024
(Please Note: A Separate Registration Form should be used for each child)
Name of Child
First Name
Last Name
Rising Grade
Parent Name
First Name
Last Name
Parent Phone Number
Phone Number is Required for Registration
Parent Email
Email is Required for Registration
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Teen Assistant Name
Assistants will be notified of assignment, must be present Monday - Friday 8:15 AM - Noon
Teen Assistant Phone Number
Please enter a valid phone number.
Special Needs (Dietary and Learning)
Questions or Comments
INFO:
910-870-1680 carolyn.gale@sacredheartpinehurst.org
Submit
Should be Empty: