Thank you so much for registering your child for Submerged Bible School 2017
 
If any information should change before the starting date,
please contact to church office (870-222-4271) to update us.

    Child's Name (required)

    Child's grade as of May 1, 2017 (required)

    Gender (required)

    Your Name (required)

    Your Email # (required)

    Contact Phone Number(required)

    Other than you, who may pick your child up (required)

    Do we have permission to take your child's' picture and use for publicity (required)
    YesNo

    Medical/Allergy Info, i.e. conditions or medcines taking