VBS Kids Registration 2024

Child's Name

Gender

Date of Birth

Rising Grade

Food Allergies

Medical Concerns

Additional Information

Guardian Information

Guardian Name

Guardian Phone

Guardian Email

This address will receive a confirmation email

Emergency Contact Information

Emergency Contact Name

Relationship to Child

Emergency Contact Phone

Click submit to register your child for VBS 2024

By submitting this form you consent to release multimedia of your child for use on social media or promotional purpose (i.e. newsletters, etc.)

Description

July 15-19 6:30PM-8:45PM

Join in the fun!

Kids ages 3 - Rising 5th Grade

Please fill out this form and click submit.