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VBS Registration (VBS Dates: Jun 2-6, 9:00 a.m. - 12 p.m.)
Please register each child separately.
VBS is for children from ages 5-12 years old.
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Parent's email
*
Your answer
Emergency contact (Please include name, phone number and relationship to child)
*
Your answer
Child's age (before the first day of VBS)
*
5 years old
6 years old
7 years old
8 years old
9 years old
10 years old
11 years old
12 years old
Grade entering
*
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
Child's address
*
Your answer
Church
Your answer
Does your child have any food allergies or health concerns that we need to be aware of? If yes, please explain.
*
Your answer
Is there anything else you would want us to know about your child?
Your answer
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