VBS 2024

July 15th - 18th | Please fill out this form and click submit to register for VBS 2024
5;15pm - 8:30pm

Child Name

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Address

*

Email

Phone

*

Birthdate

*

Last Grade Completed

*

Please select one option.

None Preschool Kindergarten 1st 2nd 3rd 4th 5th 6th

Emergency Contact Information:

*

Medical or Other Important Notes:

Allergies

Does your Child need to ride the Van

*

Please select one option.

No Yes

Dismissal Information: Who may pick up your child at the end of each VBS Day? Children will only be released to those on the list.

*

Description

July 15th - 18th

Please fill out this form and click submit to register for VBS 2024
5;15pm - 8:30pm

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