First Name
Last Name
Email Address
Phone
Cell Phone
Fax No
Address
City
State
Comments
Child 1
Child 2
Child 3
 
​Highwater Congregational UCC
​2019 VBS ONLINE Registration
​Monday June 17 - Thursday June 20
9:30a-12:00p​
​   Pre-K thru entering 5th grade

A signature will be required upon arrival, Thank you​
Your Name

Please list any allergies / medical information that will be needed while your child is with us.
Child 1  Name / Age / Grade Completed
Child 2 Name / Age / Grade Completed​
Child 3 Name / Age / Grade Completed​
Phone You can be reached
Your Relationship
e-mail
Home Address
City / State / Zip
Emergency Contact Name
Emergency Contact Phone #
Emergency Contact Relationship
Click Here For
​Printable Form

Fill it out and bring with you  or send it in.​
After clicking submit you will be brought to our Happenings page to view current and past Newsletters.  God Bless You and see you on June 17th.
​Say Yes to VBS!
Just Jesus