VBS Registration 2019

Register for the POWER UP Vacation Bible School 2019

We're looking forward to a great VBS this year with POWER UP! Children ages 3yrs thru 5th grade are welcome to join us June 24-28, 2019, from 5:30 pm to 8:00 pm.

You may register by filling out the information below or you may call the church at 270-395-4600.

CLICK HERE to learn more about Power Up VBS

Vacation Bible School 2019 On-line Registration Form

* Indicates required field

Name of Child 1 -- Birthday -- Grade Just Completed *

Name of Child 2 -- Birthday -- Grade Just Completed *

Name of Child 3 -- Birthday -- Grade Just Completed *

Name of Parent(s) / Guardian(s) *

Parent(s) / Guardian(s) - Contact Phone *

Emergency Contact - Name & Phone Number *

Can we text you? *

Yes No

Address, City, State, Zip - Email *

People Who May Pickup Child *

Can we put a picture of your child/children on our Facebook page? *

Yes No

Do you need transportation? *

Yes No

Church You Currently Attend *

Special Needs / Allergies - A friend your child would like to be with? *

Submit