Faith Assembly of God
921 Chestnut Ridge Road
Chestnut Ridge New York 10977
Sunday Service 11:00am
VBS 2018 - Shipwrecked: Rescued by Jesus
Welcome to registration for Faith Assembly's 2018 Vacation Bible School! The following form will allow us to best take care of your child, while he/she joins us this August for VBS.
The program will run August 20, 21, 22, 23, and 24, 7:00-9:00pm.
Your payment of $5 per child can be given here during this process.
For any questions about VBS, registration or payments, please email email@example.com.
Name of Child (Please list only one child per form)
Allergies (Food, Insects, Medication, etc) or Medical Issues?
Parent/Guadian of Child
Parent/Guardian Home Phone & Cell Phone
(in the event that a parent/guardian cannot be reached)
Emergency Contact Home Phone & Cell Phone
Name of All Individuals Permitted to Pick Up Child
Do you give permission to the Volunteers/Staff of Faith Assembly to transport your child if needed?
For online giving & offerings, click the
921 Chestnut Ridge Rd
Chestnut Ridge, NY