2026 - VBS Registration

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We are excited to see you at VBS this year! Please complete the enrollment information below.

Email *

Child's Last Name *

Child's First Name *

Address *

Child's Age *

Grade (Fall of 2026) *

Gender *

Parent/Guardian Contact Info - Name *

Phone # - Cell (While unlikely, in the event of an emergency, we may call and/or text) *

Additional Phone #

Second Emergency Contact - Name & Phone #

Ex. Jane Doe - 269-867-5309

Pertinent Health Info - allergies, asthma, etc. *

Send me a copy of my responses.

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