Vacation Bible School

Vacation Bible School 2017 Registration Form

Tuesday, June 27 - Friday, June 30, 9 am - 12 pm
June 30, 5:30 - 7:00  Closing Ceremony

2150 Giffen Avenue, Santa Rosa, CA 95401
(707)545-3863

**Registration Deadline June 10th**
Registration fee $35

NOTE: If you want to register 2 or more children, click "Submit and/or Pay" at the bottom of this form, then go back and fill out additional forms before paying.  When you pay, change the quantity to show the total number of children for which you are paying.

Paying online is not required.  You can also pay at church.

Scholarships are available by contacting the church office.
 

* Field is required

One child per form, please
Phone Numbers
as of June, 2017
IN CASE OF EMERGENCY
In case of emergency (if parent/ guardian cannot be reached), please contact:
Person who will pick up child each day
(Please arrive by 12 noon)
(if any)
Photo Release
I give permission for First United Methodist Church of Santa Rosa to photograph my child during the week of Vacation Bible School for the purpose of a video slide presentation and online publicity.
Your submission of this form is your signature for the Photo Release.
By submitting this form, you accept the Mollom privacy policy.