Email Marketing -

Full Name *

Mobile Phone Number *

Email *

Street Address *

City *

State *

Zip Code *

# of Children attending VBS *

Name of all Children Attending VBS

Age of all Children Attending VBS *

Name(s) of special friend your child might like to be with

Can we post a photo of your child on social media? *

Is there anything else you would like to share?

In Case Of Emergency Information

In case of emergency contact full name *

In case of emergency phone number *

Allergies or other medical conditions of children attending VBS *

Do you currently attend Pekin First Church of God? *

If no, do you currently attend another church?

Would you like to receive email updates about any of the below?

SMS Community Event Updates

Email Community Event Updates