2025 VBS Registration

June 2-6 5:30 PM | Please fill out this form for anyone ages 3 years to 6th grade and click submit.

Child Name

*

Gender

*

Please select all that apply.

Male Female

Birthdate

Grade Just Finished

*

Please select one option.

3-4 Years Old Kinder 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Parent Name

Email

This address will receive a confirmation email

Phone

Address

Emergency Contact

Emergency Contant Phone

Authorized to Pick Up

Food Allergies

Medical Concerns

Description

June 2-6 5:30 PM

Please fill out this form for anyone ages 3 years to 6th grade and click submit.

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