Registration Form

If faith is a journey—how do we know where to go and what to do along the way? Buckle up as we go on a journey full of fun games, amazing worship, and incredible truths from the Bible. Kids will learn what it means to FOLLOW Jesus, DO what Jesus says, BELIEVE who Jesus is, LOVE who Jesus loves, SHARE what Jesus did, and GO where Jesus leads. Ready, set, MOVE!

Children ages 4-10 are invited to join us at Living Hope Church for Vacation Bible School on July 10-14, 2023 from 9:00 a.m. – 12:00 p.m.

Parent's Name(Required)

First Last

Second Parent's Name

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email(Required)

Best phone number(Required)

Emergency Contact(Required)

Phone(Required)

Child Registration

If you need more spaces, please complete a second registration

Child

First Last

Male/Female

Male

Female

Date of Birth

Age as of July 11, 2023

Allergies/Medical Info

Child

First Last

Male/Female

Male

Female

Date of Birth

Age as of July 11, 2023

Allergies/Medical Info

Child

First Last

Male/Female

Male

Female

Date of Birth

Age as of July 11, 2023

Allergies/Medical Info

Child

First Last

Male/Female

Male

Female

Date of Birth

Age as of July 11, 2023

Allergies/Medical Info

Who is authorized to pick up your child/children?(Required)

Any further information of which we should be made aware

Did you come with a friend? If so, what is their name?

VBS Roller-Skating Party

Families are invited to attend a roller-skating party on Sunday, July 16 at the Olympic Skating Rink from 6:30-8:30 p.m. to celebrate the close of VBS. Skate rental costs $3. Children must be accompanied by a parent or supervising adult. Address: 60 E Shady Lane, Enola, PA 17025.

Yes, we will attend

No, we will not attend

Number of adults attending

Number of children attending

Permission for photographs

Parents please be aware your child may be photographed during the week of Vacation Bible School. Photos will be used for Living Hope Church's promotional purposes ONLY.

YES, you may use my child’s photos

NO, you may not use my child’s photos

Phone

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

Vacation Bible School Registration

Child Registration

VBS Roller-Skating Party

Permission for photographs

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Contacts

Address:

3030 Schoolhouse Road, Middletown, PA 17057

Phone:

717-541-0400

Email:

Office@livinghopechurchpa.com