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VBS Registration 2020
Please feel out a form for each child.
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* Indicates required question
Child's Name
*
Your answer
Grade last completed
*
No Grade - 3 Years old as of September 1, 2019
No Grade - Pre K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Address (Street, City, Zip Code)
*
Your answer
Parents Name and Phone Number ( John Doe (xxx) xxx-xxxx , Jane Doe (xxx)xxx-xxxx
Your answer
Email Address (we will be emailing information regarding virtual class to this email address)
*
Your answer
Church Affiliation
*
Your answer
How did you hear about us?
*
Facebook
Friend/Family
Newspaper
Other:
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