Vacation Bible School

When: June 26-30, 2022

Where: York Adventist Christian School
Directions

Time: 6:00-8:30

Who: ages 5 though 12

Registration Form

*required field

Child's Name

Gender

Male Female

Birthdate

Grade Completed

Address

Parents/Guardian

Home Phone

Work Phone

Cell Phone

Email

Emergency Contact & Phone

Relationship to Child

Please place my child with

Name of home church

List all food allergies

List/explain all medical concerns