Vacation Bible School Registration
Register your child(ren) for Fairmount Coffee's first VBS, Splash Canyon! Submit one form per each child.

We are inviting young people who have completed Kindergarten-5th Grade to join us for Splash Canyon! There is NO COST. Call 316-684-5224 with questions.

We plan to have VBS Monday – Wednesday and then Thursday evening, invite the children's families to Fairmount Coffee for a Family BBQ!

VBS: Monday, July 23 - Wed., July 25, 6:00pm - 7:30pm
Family BBQ: Thursday, July 26, 5:30pm - 8:00pm
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Family Name
Child's Name *
Birthdate *
Age *
Parents Name(s) *
Address *
Best Phone Number *
Cell Phone for Both Parents *
Email Address *
Emergency Contact (if parents are not able to be reached) Include Name, relationship to child, & phone number *
Last Grade Completed *
Allergies or Special Request (a friend or grade you'd like your child placed with) *
T-Shirt Size *
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