Vacation Bible School Registration

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

Basic Information
  1. Gender:
  2. Last grade completed?:
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. Do you attend church regularly?:

NOTE: By submitting this form you agree that your participating child may be photographed and these pictures used for church promotional purposes. No personal information will be visible or included with the pictures.

When you submit this form it will re-appear so that you can register additional children if you desire. Thanks for registering for Bible Adventure Camp!



Contact information

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