ILLUMINATION STATION VBS SIGN UP

Join us July 13th- 17th 6:00PM- 8:30PM Grades going into PREK through going into 5th Grade: Illumination Station where kids will discover how God’s light shines in the world—and in their lives!
ILLUMINATION STATION VBS SIGN UP SHEET
Name

First NameLast Name
Birthdate:
Grade child will be entering in the 2026-2027 school year
Emergency Contact Information:
Emergency Contact Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date

MonthDayYear
Date
Signature
Choose child or adult sized shirt below:
Allergies
Authorized Pick Up Name List. Child will not be released to anyone who is not on this list.
Should be Empty:

Join us July 13th- 17th 6:00PM- 8:30PM Grades going into PREK through going into 5th Grade: Illumination Station where kids will discover how God’s light shines in the world—and in their lives!