VBS Registration
Please fill out this form to register for Vacation Bible School
Child's Name
*
Parent/Guardian Name
*
Parent/Guardian Phone
*
Alternate Contact
*
Alternate Phone Number
*
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Parent/Guardian Email
This address will receive a confirmation email
Child's Grade Just Completed
*
Please select one option.
Nursery
Pre-K - Kindergarten
1st - 3rd
4th - 6th
7th-12th
Any Known Allergies?
*
Does your child need transportation? (If yes, please make sure you have filled out the address section above.)
Please select one option.
Yes
No
May your child's picture be taken and/or posted to the church's social media pages?
*
Please select one option.
Yes
No
Submit
Description
Please fill out this form to register for Vacation Bible School
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