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2019 VBS June 2-5 6:30-8:30
VBS is for ages 3 (by June 2, 2019) through ending 5th graders. Please register each child separately.
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* Indicates required question
Child's first name
*
Your answer
Child's last name
*
Your answer
Child's age as of June 2, 2019
*
3
4
5
6
7
8
9
10
11
Required
Last school grade completed
*
Not in school yet
Pre-K
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
Required
Please list any allergies or special needs we should be aware of for VBS.
*
Your answer
Parent/Guardian Name(s)
*
Your answer
Phone Number
*
Your answer
Emergency Contact (Name and Phone Number)
*
Your answer
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