Request edit access
POWER UP VBS registration
Event Timing: June 23rd-27th, 2019 6:00 - 8:30 pm
Event Address: LaGrange Town Park
Contact us at (260) 463-3700 or (260) 562-2505
Gamers First Name *
Your answer
Gamers Last Name *
Your answer
Gamer's Address *
Your answer
Town *
Your answer
Zip Code *
Your answer
Email *
Your answer
Emergency Contact (Phone #) *
Your answer
Parent's Name *
Your answer
What days will you attend? *
Tshirt size (if able we suggest a $5 donation to cover cost of tshirts) *
Age group - the grade they completed *
How I heard about VBS *
Any special considerations or allergies? *
Your answer
* This years offering will go toward Feed My Starving Children*
Never submit passwords through Google Forms.
This form was created inside of The Loop Collective. Report Abuse - Terms of Service