VBS Registration 2019
August 5-8
6:00-8:00pm
For ages 4 - completed 5th grade
Child's Name *
Your answer
Parent/Guardian Name *
Your answer
Email *
Your answer
Birthday *
MM
/
DD
/
YYYY
Grade Completed *
Address *
Your answer
Phone number *
Your answer
May we put photographs of your child on Facebook? *
Required
Allergies and Other Comments
Your answer
Submit
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