VBS Registration Form

VBS Registration Form

June 8-12 | 6pm - 8:30pm | Completed grades K-5th
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Food Allergies/Medical Concerns*
Last Grade Completed*
Parent Information
Name*

First NameLast Name
Phone Number*
E-mail*
example@example.com
How did you hear about us?*
Please Specify*
Home Church
I give permission for my child to be included in photographs/videos related to VBS

YesNo
Please note Thursday, June 12th will be Family Night. All family members are invited to join us for our final night rally, slide-show, dinner and outdoor activities. It's going to be a great way to end VBS!!
Should be Empty:

Parent Information