VBS Kids Registration 2024
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.
Child's Name
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Date of Birth
*
Rising Grade
*
Please select one option.
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Select Option
Preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th 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.)
Submit
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.
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