Bonney Lake Nazarene Home Page
VBS Registration Form
Childs Name:
Parents Name:
Address:
City:
State: Zip:
Phone Number:
Emergency Phone:
Child's Birthday: / /
Grade entering in the fall:
Doctors Name:
Doctors Phone Number:
Allergies:
Please fill out this form and give it to one of the VBS organizers or mail it to the church at the following address:
Bonney Lake Nazarene
Attn: VBS REGISTRATION
7410 Myers Road E, Bonney Lake, WA
98391
Phone: (253) 863-8260 or
(253) 863-4643
Email:
bln@bonneylakenazarene.org
Senior Pastor Steve Ripp