VBS

VBS

Pre-registration for 2022 is now open! Walk-up registrations are still welcome!

RM_Stats

Child's First Name^*

Child's Last Name^*

Sex^*

Male
Female

Child's Birthdate^*

Last Grade Attended^*

Guardian Name^*

Contact Phone Number^*

Contact Email^*

Known Allergies/Conditions

Address

Address Line 1

City

Postal Code

Home Church

Emergency Contact Name

Emergency Contact Phone Number

I give permission for my child's picture to appear in the Thursday night slideshow.^*

Name of friend child requests to be in group with (we'll try)

Any other requests? (i.e. siblings together, siblings NOT together, etc.?)

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Office Hours: 8:30AM-12:00PM (Tuesday – Thursday)