VBS 2025 Registration
June 16-19 8:30 am-12:00 pm
Child's Name
First Name
Last Name
Age as of June 16, 2025/Grade Completed/Gender for help when splitting large classes
Child's age and Grade completed
Child's Gender to help with splitting classes
Parent/Guardian
Name
Phone Number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please fill in one of the following options.
I will bring and pick up my child each day.
My child will be picked up by someone other than me.
My child has permission to ride the church van.
My child will come and go with Boys and Girls Club.
Any Known Allergies
Submit
Should be Empty: