2023 VBS Registration Form : Berea Nyack Seventh-day Adventist Church Nyack NY

Date

Phone

Email

Age/ Grade

Has your child ever attended Vacation Bible School here before?

Do you wish to refer anyone else to this VBX Program?

How did you hear about us?

Does your child have any allergies that we should be aware of?

Does your child have any special learning needs?

Are you interested in Berea Summer Day Camp for your child as well and would like to be contacted?

Yes No

Preferred way of contact Email Phone Text

2023 VBS Registration Form