Vacation Bible School 2023
June 27-30, 9am-12pm
Name of Child
*
Child's Gender
*
Male
Female
Child's Date of Birth
*
Parent Name
*
Parent Phone Number
*
Please enter a valid phone number.
Parent Email
*
example@example.com
Child's Age/Grade Level
*
Rising Pre-k4
Rising Pre-k5
Rising Kindergarten
Rising 1st Grade
Rising 2nd Grade
Rising 3rd Grade
Rising 4th Grade
Rising 5th Grade
Child's T-shirt Size
*
Youth XS
Youth Small
Youth Medium
Youth Large
Youth XL
Adult Small
Adult Medium
Any medical issues, allergies or information we should be aware?
Are there are special needs or learning differences we should be aware of?
Emergency Contact (name & number)
*
Would you like to be a parent volunteer? We can always use extra hands to make this week extra special!
*
YES!! Sign me up!
No, thank you.
Can you help with any VBS prep beforehand? If so, please let us know!
*
Submit
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