2021 VBS Registration
VBS will be held Tuesday, August 3rd & Wednesday, August 4th
Ages 3-6th grade are able to attend; older children able to stay the night and swim without supervision. Contact Sandy Quale for specific age requirement questions.
Child's Name *
Parent/Guardian *
Mailing Address *
Home Phone *
Cell Phone *
Email Address *
Child's Age *
School Grade Last Completed *
Please list any allergies (including food allergies) *
In Case of Emergency (If Parent/Guardian can't be reached): Name, Phone Number, Relationship to Child *
Person picking up child (if not parent/guardian)
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