Ben Salem United Church of Christ - Lehighton, PA
Vacation Bible School
 



Ben Salem Vacation Bible School
Vacation Bible School June 24 – June 28
6:30 to 9 PM
Theme: In the Wild
 
 
Amazing Encounters With Jesus John 20:31


 
 
 Please contact Kelly White at 570-778-0356 [text or call] or Dawne Beidleman 570-386-2015.  Thanks in advance for your help!
 
 
_______________________________________________________________________
VBS ONLINE REGISTRATION
NAME
BIRTHDATE
ADDRESS
PARENT NAME
EMAIL ADDRESS
HOME PHONE
CELL PHONE
LAST GRADE COMPLETED
T-SHIRT SIZE
May we photograph your child for use in church publications/website?
YES
NO
EMERGENCY CONTACT NAME
EMERGENCY CONTACT NUMBER
MEDICAL INFORMATION & ALLERGIES
List names and relationships of all those who may pick up your child at VBS