Child's Name
First Name
Last Name
Child's Grade (just completed)
Please Select
PRE-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
Child's Age
Parent's Name
First Name
Last Name
Parent's Email
example@example.com
Parent's Phone Number
Please enter a valid phone number.
Will your child be attending dinner at 5:15 during VBS week? Dinner is FREE!
Yes
No
Does your child have any food allergies? If yes, please list them below.
Do you want to purchase a VBS T-shirt for you or your child? $10 EACH
Yes
No
What size T-shirt would you like to order?
Youth XS
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Other
Would you like to be a parent volunteer?
YES
No
Submit
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