2019 VBS Registration- To Mars and Beyond Ages 3 (potty trained) through 18
Dates
Preschool Age 3 - Potty Trained
Friday July 12 6:30 - 8:30
Saturday July 13 9:30 - 12:30

Kindergarten - 5th Grade
Friday July 12 6:30 - 8:30
Saturday July 13 9:30 - 4:30

Middle School/ High School 6th Grade - 12th Grade
TGIF - Together Growing In Faith
Friday July 12 6:30 - 8:30
Saturday July 13 9:30 - 4:30

***** Family picnic to follow *****

Child's First & Last Name *
Your answer
Child's Age *
Your answer
Date of Birth *
Your answer
Last school grade completed *
Your answer
T-shirt size *
Required
Which VBS event will your child attend *
Required
Allergies or Other Medical Conditions *
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Parent/Guardian's name *
Your answer
Street Address *
Your answer
City *
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State *
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Zip *
Your answer
Phone Number *
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Emergency Contact Name *
Your answer
Emergency Contact's phone number *
Your answer
Relationship to Child *
Your answer
If checked, I do NOT authorize the use of photographs of my child for promotions
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