VBS Registration
June 10-14, 6:00-8:15pm
Entering K-6th Grade

Parent/Guardian Information:

✲ Parent/Guardian Name:

✲ Phone Number:

Email:

Home Church (if you have one):

Check the days your child(ren) plan to attend VBS:

Check all days

✲ Who may pickup your child(ren)?

Emergency Contact:

✲ Contact Name:

✲ Relationship to child:

✲ Phone Number:

Child 1:

✲ Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Child 2:

Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Child 3:

Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Child 4:

Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Child 5:

Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Child 6:

Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Child 7:

Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Child 8:

Name:

✲ Age:

✲ Grade Entering:

✲ Gender: Male Female

Allergies or health concerns:

Submit

After clicking the "submit" button, a page will be displayed that indicates that your information has been sent.

VBS Registration June 10-14, 6:00-8:15pm Entering K-6th Grade

Parent/Guardian Information:

Emergency Contact:

Child 1:

Child 2:

Child 3:

Child 4:

Child 5:

Child 6:

Child 7:

Child 8:

Submit

Hope Fellowship 300 Hollybrook Dr Longview TX 75605 (903) 753-8022

VBS Registration
June 10-14, 6:00-8:15pm
Entering K-6th Grade

Hope Fellowship
300 Hollybrook Dr
Longview TX 75605
(903) 753-8022