VBS Registration 2024
Please fill out this form and click submit.
Vacation Bible School is Sunday evening, June 2 through Wednesday JuneĀ 5 fromĀ 5:30pm-8:00pm. We invite everyone back for our Family Fun Night on Thursday evening at 5:30pm.
Child's Name
*
Birthdate
*
Grade about to complete or just completed?
*
Any Allergies or Other Necessary Medical Information
*
Parent/Guardian Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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AA
AB
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AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
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GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
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MO
MP
MS
MT
NB
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NE
NH
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PA
PE
PR
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QC
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TN
TX
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VT
WA
WI
WV
WY
YT
Emergency Contact Name (other than listed above)
*
Emergency Contact Number
*
Please list anyone other than those that are listed above that may pick up your child from VBS.
*
Would you like to order your child a VBS t-shirt for $10? (Money not due until the start of VBS.)
*
Please select one option.
Yes
No
If yes, please select your child's size.
Please select one option.
N/A
Youth X-small
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
May we have permission to photograph your child?
*
Please select one option.
Yes
No
May we have permission to use your child's photograph for the purpose of promotion?
*
Please select one option.
Yes
No
Submit
Description
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