VBS Registration

July 10th-14th

6:00-8:30pm

3 years old – 6th Grade

Please fill out the registration form below for each child that will be attending.  Thank you!

Child's Name
Age
Last Completed Grade
Birthday
Allergies?
Address
City
State
Zip
Phone
E-Mail
Parent/Gaurdian Name
Emergency Contact Number
Which church do you attend?