VBS 2024 Registration

July 15 - 18 @ 6:00 PM | Please fill out this form and click submit.
**Please note the date change** This year, we have decided to try things a little differently by doing a 4-day VBS as opposed to a 5-day VBS. Our time might be compact, but the fun will still be great!

Family Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

How did you hear about our VBS?

*

Emergency Contact Information

Name

*

Relationship to Student

*

Phone Number

*

Approved Emergency Pickup Person(s)

*

Student(s) Information

Student #1 Name

*

Gender

*

Please select all that apply.

Male Female

Birthdate

*

Grade Going Into This Fall

*

Please select all that apply.

Pre-K/K 1st thru 3rd 4th - 6th

T-shirt Size (please indicate Youth or Adult)

*

Allergies

*

Medical Concerns

*

Student #2 Name

Gender

Please select all that apply.

Male Female

Birthdate

Grade Going Into This Fall

Please select all that apply.

Pre-K/K 1st thru 3rd 4th thru 6th

T-shirt Size (please indicate Youth or Adult)

Allergies

Medical Concerns

Student #3 Name

Gender

Please select all that apply.

Male Female

Birthdate

Grade Going Into This Fall

Please select all that apply.

Pre-K/K 1st thru 3rd 4th thru 6th

T-shirt Size (please indicate Youth or Adult)

Allergies

Medical Concerns

Student #4 Name

Gender

Please select all that apply.

Male Female

Birthdate

Grade Going Into This Fall

Please select all that apply.

Pre-K/K 1st thru 3rd 4th thru 6th

T-shirt Size (please indicate Youth or Adult)

Allergies

Medical Concerns

Description

July 15 - 18 @ 6:00 PM

Please fill out this form and click submit.
**Please note the date change** This year, we have decided to try things a little differently by doing a 4-day VBS as opposed to a 5-day VBS. Our time might be compact, but the fun will still be great!

Please Fix the Following

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