Ready, Set, Move! VBS Registration

August 7 - 11, 9:00 - 11:30AM | Hi there! Thank you for registering for Vacation Bible School. Please submit one registration for each child. For your first registration, please fill out all parent contact and emergency contact information. For any following registrations, you may leave them blank.

Parent Information

Parent Name

*

Parent Email

*

This address will receive a confirmation email

Parent Phone

*

Alternate Phone

Address

*

Emergency Contact Information

Emergency Contact Name

*

Emergency Contact Phone

*

Relationship to Child:

*

Child Information

ONE child per form. Open for incoming preschool through 6th grade children.

Child's Name

*

Gender

*

Please select one option.

Male Female Other

Grade (Entering in the Fall)

*

Please select one option.

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

Birthdate

*

Allergies:

Medical Concerns:

Any additional comments/concerns:

May we take and publish pictures of your child for future VBS promotional material?

*

Please select one option.

Yes No

Who is authorized to pick up your child?

*

Description

August 7 - 11, 9:00 - 11:30AM

Hi there! Thank you for registering for Vacation Bible School. Please submit one registration for each child. For your first registration, please fill out all parent contact and emergency contact information. For any following registrations, you may leave them blank.

Please Fix the Following

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