Vacation Bible School

INTERACTIVE
Vacation Bible show
on ZOOM!

Wednesdays in July, 6 - 7 p.m.

A joint ministry of:
First Evangelical Lutheran Church
Hebron Evangelical Lutheran Church
First United Methodist Church
Leechburg, PA

Pre-register now! (one entry per child, please)

* Indicates required field

Child's Name *

First

Last

Child's Gender *

Child's Age *

Date of Birth *

Last School Grade Completed *

Name of Parent(s) *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Caregiver's Cell Phone Number *

Home or Alternate Phone Number *

Home Congregation *

Please list food allergies *

Photo Release *

Deep Sea Discovery VBS sponsoring congregations have permission to use my child's photograph publicly in VBS materials. I understand that images may be used in print publications, on-line publications, presentations, and websites (BUT NOT social media). I also understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. Do NOT publish my child's photo.

Submit

INTERACTIVE​Vacation Bible show​on ZOOM!

Pre-register now! (one entry per child, please)

INTERACTIVE
Vacation Bible show
on ZOOM!