VBS 2023 Student Registration

June 5th - 8th 9 am - 12 pm | Please fill out this form and click submit.

Child's Name

*

Child's Date of birth

*

Grade completed 22-23 school year

*

Please select one option.

Pre-K K 1st 2nd 3rd 4th 5th

Parent's Name

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Allergies or any other special needs:

*

Emergency Contact name (other than parent)

*

Emergency Contact phone #:

*

Tshirt Size

*

Please select one option.

Youth Small Youth Medium Youth Large Small Medium Large XL 2XL 3XL

Description

June 5th - 8th 9 am - 12 pm

Please fill out this form and click submit.

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