2018 VBS
june 25 – 29
Monday – Friday  6:15 – 9:00 pm
Child Registration

Child's First & Last Name


Name of Parent(s)

Contact Number (cell or home)

Your Email

Home Church

Child's Age

Grade (just completed)

Child's T-Shirt Size

Will this child be eating VBS meals?

Allergies or other medical conditions?

In case of emergency, contact name & phone

If there is a friend or family member you would like your child grouped with, include that name below

Enter the characters in the box, then select Submit.