2026 VBS Registration

June 1-5 5:30-8:00 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 1-5 5:30-8:00 PM

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

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