Albuquerque Central Seventh-day Adventist Church

Vacation Bible School

Fill out form below to register your child for this exciting adventure.

Note: Fields with an asterisk (*) are required.

Child's Name

Child's Gender

Child's Age

Date of Birth

Last School Grade Completed

Parent's Name

Street Address

Home Phone Number

Parent/Caregiver Cellphone Number

Home Email Address

Home Church Name

Allergies, Medical Conditions, or special needs

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship to child

Albuquerque Central Seventh-day Adventist Church
2201 Estancia Dr. NW
Albuquerque, NM 87120-1367
505-836-1845