Agency D3 VBS Registration

Please complete the following registration information. Children with special needs are welcome!

Basic Information
Medical, special needs, or other info we need to know (include food allergies)
Emergency Contacts (please provide 2)
Who may pick up your child at the end of each day?
Other Information
  1. May we photograph your child?:
  2. May we use your child's photo in church promotional publications?:

Agency D3 VBS LogoThanks for registering for Agency D3 Vacation Bible School, Discover Decide Defend. Your mission starts on Monday, July 7 at 5:45 pm!



Contact information

Stewartstown Baptist Church
18631 Five Forks Road
Stewartstown, PA 17363
Tel.: 717.993.6382