Palmvalley Palmvalley

VBS 5th Grade Mission Project

Register below to be part of this
mission project for 5th Grade children.

Please note this camp is for children who have completed the 5th grade.

July 17-21, 2017
(Note: Fields with an * require entry)

* Required
Errors
1st Child's Name




Date Picker

2nd Child's Name




Date Picker

Parent's Information







( ) - ext.

( ) - ext.
1st Alternate Person Authorized to Pick Up Your Child




( ) - ext.
2nd Alternate Person Authorized to Pick Up Your Child



( ) - ext.




( ) - ext.
By submitting this registration, you accept our Photo Policy: Pictures & videos may be used in the church, on our website, and on social media (Facebook, Twitter, Instagram) for promotional purposes. No names will be used.