2019 VBS Registration
Register your child for VBS by completing the form below.
VBS Dates: 
June 17-21, 2019
6:20-9:00 P.M.

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.