VBS 2024

Phone

This field is for validation purposes and should be left unchanged.

Date*

Name of Parent*

First Last

Name of Child*

First Last

Age*

Email (optional)

Phone*

Country Phone Number

Dietary Restrictions / Allergies*

I give permission to Canyonville Seventh-day Adventist Church Staff to provide a meal and /or snack to my child

Yes

Canyonville Seventh-day Adventist Church – VBS 2024 Registration