Westside Family Church

You are registering for Vacation Bible School at the Speedway held at the Agricultural Hall of Fame on June 23-27, 2008 from 9-11:45am. If you need to register for a different Vacation Bible School (Lenexa Mornings or Lenexa/OP Evenings) click here and you will be directed to those registration pages. Vacation Bible School is for children who have completed Kindergarten through 5th Grade. Please fill in all required fields including EACH child's name and grade (2007-2008 School Year).
Parent(s) First Name *
Parents(s) Last Name *
Email Address *
Home Phone Number *
Cell Phone Number
You are: *
Your mailing address: *
City, State, Zip *
How many children will be attending? *
For children who have completed Kindergarten through 5th Grade. Please fill in EACH child's name and grade (2007-2008 School Year).
Child 1

Child 2

Child 3

Child 4

Child 5

Child 6

Child 7

Child 8

Child 9

Names of children your child would like to be placed with:
Medical/Allergy Information. If none, place "none" in the space provided. *
In the event of an emergency, whom do we call? *
Emergency Contact Phone Number *