Vacation Bible School Registration for Kindergarten - 5th Grade (entering into grades) VBS begins July 20-23, 6-8:30 pm

Please fill out this form and click submit.

VBS Kick-Off Family/Registration Day: Sunday, July 19 at 6 pm in the Worship Center

Parent/Guardian Info

Name

*

Phone

*

Address

*

Email

*

This address will receive a confirmation email

Home Church

*

Child(s) Info

Child one

Child's Name

*

Age

*

Grade (going into)

*

Please select all that apply.

Kindergarten 1st 2nd 3rd 4th 5th

Allergies, medical conditions or special needs.

Relationship to Child

*

Emergency Contact

*

Child two (if needed)

Child's Name

Age

Grade (going into)

Please select all that apply.

Kindergarten 1st 2nd 3rd 4th 5th

Allergies, medical conditions or special needs.

*

Child three(if needed)

Child's Name

Age

Grade (going into)

Please select all that apply.

Kindergarten 1st 2nd 3rd 4th 5th

Allergies, medical conditions or special needs.

Permission to post your child's picture on social media:

*

Please select one option.

Yes No

Description

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