VBS Summer Xtreme 6th-8th Grade
June 8-12 | 8:30 a.m. - 11:45 a.m. | Drop off and Pick up in Student Building
Participant's Full Name
*
First Name
Last Name
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Gender
*
Male
Female
Grade 2025/2026 School Year
*
Please Select
6th Grade
7th Grade
8th Grade
Please type what school you attend
*
Allergies
Please type what allergies if any
Any medical restrictions/concerns
Please type above
Friend you would like to serve with during Track Time (we will do our best to accommodate these requests)
Are you a regular attender of this church?
Yes
No
Photograph Permission
*
Yes
No
Any other information that we need to know about your student?
Please type above
Submit
Should be Empty: