VBS 2024: Breaker Rock Beach at the Sherman Church!
Registration is free; donations are gratefully accepted.
VBS is June 17 - 21st from 8:45 to 11:30 a.m.
Email *
VBS 2024 - scroll down to register your child! We can't wait to see you!
First Name of Child *
Last Name of Child *
Age of Child *
Parent/Guardian 
First and Last Name
*
Parent/Guardian Email *
Parent/Guardian 
Best Phone Number to be Reached
*
First, Last name of person who will be picking up your child, if not the parent/guardian:
Emergency Contact Name if we can't reach you: *
Emergency Contact Email if we can't reach you: *
List any allergies your child has:
(If no allergies, please write "None")
*
List any medical, behavioral, or other challenges your child has that we should be aware of:
(If none, please write "None")
*
List any strategies we should be aware of that would help to alleviate concerns your child may have while with us:
Tell us anything else you think we need to know:
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