VBS Kids Sign-UP

Please fill out this form and click submit. Please note VBS will be Tuesday June 23rd -Friday June 26th 5:00PM-8:00PM each night for Pre-K thru 5th Grade (4 years old-11 years old)

Parents Name

*

Parents Email

*

This address will receive a confirmation email

Contact Phone Number

*

Names, Birthdays, & Grade just completed of Children Who Will Be Attending VBS?

*

Allergies?

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Please select one option.

Yes No

What are they allergic to? (Food or otherwise, example: Mosquito Bite)

*

Will Join us?

*

Please select all that apply.

Tuesday June 23rd Wednesday June 24th Thursday June 25th Friday June 26th

Shirt Size? (If desired, shirts will be $5 each)

*

Please select one option.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL

Any Special Instructions or support needed for child/children?

*

Description

Please fill out this form and click submit. Please note VBS will be Tuesday June 23rd -Friday June 26th 5:00PM-8:00PM each night for Pre-K thru 5th Grade (4 years old-11 years old)

Please Fix the Following

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