Registration Step One: Family Information

Fill out the following information to register your
child(ren) for our summer Vacation Bible School.


Parent(s) First Name(s):
Last Name:
Address:

City:
State:
Zip:
Emergency/Daytime Phone Number:
Home/Evening Phone Number:
E-Mail Address (optional):
Home Church:
IHCC   Other
If Other, please specify:
Comments:

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