VBS 2025 Registration Form (ONE form per child)

June 23-27 6pm-8:30pm
Funday on June 28th

Parent/Guardian Name

*

Email

*

This address will receive a confirmation email

Cell Phone

*

Address

*

Home Church

*

Child's Name (FIrst and Last)

*

Child's Gender

*

Please select one option.

Male Female

Child's Date of Birth

*

Last Grade Completed

*

Please select one option.

Pre-K Kindergarten 1st 2nd 3rd 4th 5th 6th

Allergies, medical conditions or special needs

*

Description

June 23-27 6pm-8:30pm
Funday on June 28th

Close