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Registration
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Childs First name
*
Your answer
Childs last name
Your answer
Child grade (last year)
*
Choose
PreK
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Youth
Parent/Guardians Name (first and last)
*
Your answer
Address (with city, state ZIP)
*
Your answer
Email
Your answer
Phone number
*
Your answer
Who may pick your child up after VBS is over?
*
Parent listed above
Church bus
Other:
Please list any allergies or medical conditions we should be aware of
*
Your answer
May we take photos of your child to be put in the family night video?
*
Yes
No
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