Event registration
VBS Dates: July 21st-July 25th 6pm-8:30pm
Ages: Post-Kindergarten through entering 6th Grade
Contact: Stephanie Graham (717)-419-7551
Sign in to Google to save your progress. Learn more
Child’s Name *
Child’s Age *
What grade has your child completed? *
Special Needs? *
Parent/Guardian’s Name(s) *
Primary Phone Number *
Parent/Guardian Email(s) *
Emergency Contact #1 (Name & Number) *
Emergency Contact #2 (Name & Number) *
Dismissal: Who may pick up your child at the end of each VBS (if different from Emergency Contacts) *
Relationship/Contact Info *
Are we allowed to take and use pictures of your child(ren) for our website/social media *
Dietary restrictions *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms