OxPres 2017 VBS

1. Vacation Bible School Registration

Welcome to the Oxford Presbyterian VBS Registration Page. Please fill in the information requested so that we can have a complete picture of who will be attending.

This year, our theme is Down On The Farm !!!

Down On The Farm VBS will be held July 16-20th from 6:30-8:30 PM. This is for children who are age 4 through those who have completed Grade 6.

Question Title

* 1. Child 1 Information

Name M/F

Date of Birth

Age

School grade completed Pre-K K 1 2 3 4 5 6

Street Address

City, State, Zip

Question Title

* 2. Child 2 Information

Name M/F

Date of Birth

Age

School grade completed Pre-K K 1 2 3 4 5 6

Street Address

City, State, Zip

Question Title

* 3. Child 3 Information

Name

Date of Birth

Age

School grade completed Pre-K K 1 2 3 4 5 6

Street Address

City, State, Zip

Question Title

* 4. Parent Information

Parent/ Guardian Names

Home Number

Cell Phone Number

Email Address

Home Church

Question Title

* 5. Are there any special allergies/needs/accommodations necessary for your child/children?

Question Title

* 6. Emergency Contact

Name

Phone

Question Title

* 7. Who will be picking this child/children up?

Name

Phone