VBS 2025 Registration

VBS 2025
June 9-13
9 am -12 pm

Parent/Guardian Information

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Secondary Phone

Address

*

Emergency Contact

*

Emergency Contact Relationship to Child

*

Please select one option.

Father Mother Grandparent Brother Sister Uncle Aunt Guardian Foster Parent Neighbor

Emergency Contact Phone

*

Child Information

Name

*

Gender

*

Please select one option.

Male Female

Grade (Entering August 2025)

*

Please select one option.

K 1st 2nd 3rd 4th 5th

Birth Date (Day/Month)

*

Food Allergies

Medical Concerns

Description

VBS 2025
June 9-13
9 am -12 pm

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