VBS 2017 Registration

Child's Name

Child's Gender

Girl Boy

Child's Age

Child's Date of Birth

Child's Allergies or other medical conditions

Name of friend your child might like to be with

Parent or Guardian Name

Parent or Guardian Address

Parent or Guardian Email

This address will receive a confirmation email

Parent or Guardian Phone

What is the best way to reach you?

phone call text email

Home Church

I would like to volunteer as a worker for VBS yes as a preschool helper yes as an elementary helper yes anywhere I'm needed not this year

Any Additional Information

Description

June 19 - 22 6 - 8pm

Please fill out one form per child and click submit. We look forward to seeing you at VBS