VBS Summer Xtreme Kindergarten-5th

VBS Summer Xtreme Kindergarten-5th

June 8-12 | 8:30 a.m. - 11:45 a.m.
Participant's Full Name *

First NameLast Name
Parent/Guardian Name *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Participant's Birthday *

MonthDayYear
Date
MaleFemale
Grade 2025/2026 School Year *
Using the form below, choose 1 track for your child. Kindergarten must choose the Kindergarten track. Limited spots are available for 1st-5th Grade Tracks.
Tracks*
Allergies
Please type what allergies if any
YesNo
YesNo
YesNo
Any other information that we need to know about your child? Any Medical Concerns?
Please type above
Should be Empty: