VBS Registration 2019

2019
Little Chapel on the Boardwalk
Vacation Bible School, June 24-27
9 am - 11:30 am
Registration Form

2 West Fayetteville Street
Wrightsville Beach, NC 28480
910.256.2819
info@littlechapel.org

* Indicates required field

Child's First and Last Name *

(second) Child's First and Last Name *

(third) Child's First and Last Name *

Child's Age *

(second) Child's Age *

(third) Child's Age *

Gender *

(second) Gender *

(third) Gender *

Parent's or Guardian's First and Last Name *

Address *

City *

State *

Zip Code *

Preferred Email Address *

Additional Email Address (optional) *

Primary Phone # *

Alternate Phone # *

Primary Type *

Cell Home

Alternate Type *

Cell Home

Whose Primary Phone? *

Whose Alternate Phone? *

WHEN YOU HAVE COMPLETED ALL APPLICABLE SECTIONS, PLEASE CLICK ON THE SUBMIT BUTTON BELOW. YOU WILL BE ASKED TO SIGN THE FORM IN THE LITTLE CHAPEL OFFICE ON OR BEFORE THE FIRST DAY OF VBS. IF YOU HAVE ANY QUESTIONS, PLEASE CONTACT US AT info@littlechapel.org or call 910.256.2819

Submit

2019 ​Little Chapel on the BoardwalkVacation Bible School, June 24-27 9 am - 11:30 amRegistration Form

Hours: M-F 9am-5pmTelephone: 910-256-2819Email: info@littlechapel.org​​

2019
Little Chapel on the Boardwalk
Vacation Bible School, June 24-27
9 am - 11:30 am
Registration Form

Hours: M-F 9am-5pm

Telephone: 910-256-2819

Email: info@littlechapel.org