Events

Ignite Kids VBS: Journey Off the Map


  • Harvest Bible Chapel St. Louis 17795 Wild Horse Creek Rd Chesterfield, MO, 63005

Registration is free and open to all. Ignite Kids VBS is for kids age 4 through 5th grade.

Child's Name *
Child's Name
Parent/Guardian Name *
Parent/Guardian Name
Contact Information
Address *
Address
Mailing Address
Mailing Address
If different
Home Phone
Home Phone
Mobile Phone
Mobile Phone
Work Phone
Work Phone
Age Information
Child's Birthdate *
Child's Birthdate
Medical or other information we need to know. Please include any food allergies and/or any special needs.
Emergency Contacts
Name of Primary Emergency Contact *
Name of Primary Emergency Contact
Phone of Primary Emergency Contact *
Phone of Primary Emergency Contact
Name of Second Emergency Contact
Name of Second Emergency Contact
Phone of Secondary Emergency Contact
Phone of Secondary Emergency Contact
Name of Third Emergency Contact
Name of Third Emergency Contact
Phone of Third Emergency Contact
Phone of Third Emergency Contact
Dismissal Information
Who has permission to pick up your child at the end of each VBS day?
Authorized Person 1
Authorized Person 1
Authorized Person 1's Phone
Authorized Person 1's Phone
Authorized Person 2
Authorized Person 2
Authorized Person 2's Phone
Authorized Person 2's Phone
Authorized Person 3
Authorized Person 3
Authorized Person 3's Phone
Authorized Person 3's Phone
Other Information