VBS Registration

Keepers of the Kingdom
For children 4 years – 6th grade
When: July 16-20, program on July 21st
Where: Community of Hope Church of the Nazarene
16549 Johnson Rd, Brainerd, MN
Contact Pastor Julie for more information: pastorjulie.coh@gmail.com

* Indicates required field

Child's Name *

First

Last

Grade *

Allergies or medical concerns *

Birthdate *

Child's Name *

First

Last

Grade *

Allergies or medical concerns *

Birthdate *

Child's Name *

First

Last

Grade *

Allergies or medical concerns *

Child's Name *

First

Last

Birthdate *

Grade *

Allergies or medical concerns *

Child's Name *

First

Last

Allergies or medical concerns *

Birthdate *

Grade *

Birthdate *

Parent's name *

First

Last

Home Church *

Email *

Phone Number *

Emergency Contact and phone number *

I give Community of Hope Church of the Nazarene in Brainerd permission to use my child in a photo for promotional purposes. *

Yes No

We would like to buy a Keepers of the Kingdom music CD for $2. *

Yes No

Submit