VBS Registration - June 30, 2021 ~ 9:00 AM - 12:00 PM

June 30th 9a-12, July 7th, July 21st, July 28th, Aug 4th | Please fill out this form and click submit.
Select each Wednesday your child will be attending VBS.

Parent/Guardian Name

*

Child 1 Name

*

Grade Entering This Fall

*

Please select one option.

RK-1st R2nd-3rd R4th-6th

Child 2 Name

Grade Entering This Fall

Please select one option.

RK-1st R2nd-3rd R4th-6th

Child 3 Name

Grade Entering This Fall

Please select one option.

RK-1st R2nd-3rd R4th-6th

Child 4 Name

Grade Entering This Fall

Please select one option.

RK-1st R2nd-3rd R4th-6th

Child 5 Name

Grade Entering This Fall

Please select one option.

RK-1st R2nd-3rd R4th-6th

Email

This address will receive a confirmation email

Phone

*

Address

*

VBS Days Attending

*

Please select all that apply.

June 30 July 7 July 21 July 28 August 4

Volunteers: I am a(n)

*

Please select all that apply.

Adult Youth Gnarly

Emergency Contact Name

*

Emergency Phone

*

Please List Any Allergies or Special Instructions

Description

June 30th 9a-12, July 7th, July 21st, July 28th, Aug 4th

Please fill out this form and click submit.
Select each Wednesday your child will be attending VBS.

Please Fix the Following

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