Seventh-Day Adventist Church

Wahiawa Seventh-day Adventist Church Wahiawa, HI

2017 VBS Registration Form
Please fill out this form to Register your child(ren) to the 2017 Vacation Bible School. (One Per Child)

2017 VBS Registration Form
Name: *
Child's gender: *
Child's age: *
Date of birth: *
Last school grade completed:
Name of Parent(s):
Street address:
Home telephone:
Parent/caregiver's cell phone:
Home email address:
Home church (if any):
Allergies or other medical conditions:
In case of emergency, contact: *
Phone: *
Relationship to child:
AntiSpam:   Enter the code in the graphic below to help eliminate spam entries.
Fields marked with an * are required.