Scuba VBS
Join us for VBS June 24th-28th from 9:00-12:00. Children completed 4K-complete 5th grade. Register by May 20th to receive a free T-shirt.
Name
First Name
Last Name
Date of Birth
Child's age
Grade Completed (4K-5th)
Please Select
4k
Kindergarten
First
Second
Third
Fourth
Fifth
T Shirt Size-Register by May 20th for a free shirt
Please Select
youth small
youth medium
youth large
youth XL
adult small
adult medium
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent(s) Name:
Email
example@example.com
Phone Number
Please enter a valid phone number.
Allergies/Concerns/In Case of Emergency Contact
Parents/Caregivers that can pick up your child:
Submit
Should be Empty: