Vacation Bible School Registration

By completing the form below you are consenting to allow the Pataskala church of Christ to potentially use any pictures your child may appear in during their VBS experience. These photos will be used for the sole purpose of promoting the fun and exciting experience that our VBS program offers. Pictures can be removed upon request. If you have any questions or concerns, click the contact link below. 


Child Name *
Child Name
Parent Name *
Parent Name
Emergency Phone Contact *
Emergency Phone Contact
Address *
Address
Please list the age of each child, most recent school year completed, allergies, and any medical conditions we should be aware of. Ex: John Smith, 6yrs old, K, no allergies, no medical conditions.
Hope to see you at our 2013 Vacation Bible School!

Hope to see you at our 2013 Vacation Bible School!