2017 VBS Online Registration

Vacation Bible School!
July 10-14, 2017 • 9:00 AM-12:15 PM
For Children ages 4 - 6th Grade
Registration May 1, 2017 to June 23, 2017

LifeWay’s VBS 2017 turns your kids into Galactic Starveyors! As kids focus their telescopes on the marvels painted in the sky by the Creator, they will discover the wonder among all wonders—that the God who created everything there is—the knowable and the unknowable, the visible and the invisible—wants a personal relationship with them! 

Ox Hill Baptist Church • 4101 Elmwood Street, Chantilly, VA

** Please note, your child(ren) may be photographed or videotaped during normal event activities, and these photos/videos may be used in materials for Ox Hill Baptist Church. Children are never identified in the materials.
Child #1 - Name (first and last):
Child #1 - Date of Birth (MM/DD/YYYY):
Child #1 - What grade did Child #1 just complete?
Child #1 - Gender:
Does Child #1 have any allergies or medical conditions?
Child #2 - Name (first and last):
Child #2 - Date of Birth (MM/DD/YYYY):
Child #2 - What grade did Child #2 just complete?
Child #2 - Gender:
Does Child #2 have any allergies or medical conditions?
Child #3 - Name (first and last):
Child #3 - Date of Birth (MM/DD/YYYY):
Child #3 - What grade did Child #3 just complete?
Child #3 - Gender:
Does Child #3 have any allergies or medical conditions?
Street Address:
City/State/Zip Code
Home Phone:
Mother's Name (First and Last):
Mother's Cell Phone:
Email address:
Father's Name (First and Last):
Home Phone (if different):
Father's Cell phone:
Father's Street Address (if different):
City/State/Zip Code
Father's Email Address:
Emergency Contact Name (after parents):
Emergency Contact's Phone Number:
Who may pick up your child at the end of each VBS day? (Please indicate the name or names of responsible adults allowed to pick your child up.)
How did you hear about VBS at Ox Hill?
  • Advertisement
  • At Church
  • Banner
  • ESL
  • Flyer/Poster
  • Friend/Family Member
  • Mailing/Postcard
  • MDO
  • Newsletter
  • Ox Hill's Website
Do you attend a church?
  • I attend Ox Hill.
  • I attend another church.
  • I do not attend church.
Please tell me about (select all that apply):
  • Children's Programs
  • Youth Programs
  • Music Programs
  • Bible Study/Sunday School
  • Other