Vacation Bible School Interest Survey Form
Survey Date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Are you a parent?
Yes
No
How old is your child?
Number of children in the household
Do you think your child might be interested in a Vacation Bible Study?
Yes
No
Is this going to be your child's first Vacation Bible study?
Yes
No
If no, when was the first?
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What are the interests and hobbies of your child?
Sports, Music, Arts, etc.
What is the best time to do the Bible study?
Hour Minutes
AM
PM
AM/PM Option
How often can your child attend a Bible study per week?
Once
Twice
Three times
Four times
Five times
Other
Best day in terms of availability
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How long is your preferred Bible study session?
1 hour
2 hours
3 hours
Other
Name of the church your family is affiliated to?
Would you be willing to volunteer or share your skills for a successful Vacation Bible study?
Yes
No
If yes, please select your skills:
Organizing and Planning
Car service
Food
Music
Materials
Lighting and chairs
Cleaning
Other
Would you like to receive notification emails from us?
Yes
No
Submit
Should be Empty: