Shipwrecked VBS 2018
June 3 - 6, 2018
VBS is for children who are 3 years old by June 3, 2018 through children completing 5th grade in 2018.

PLEASE REGISTER ONLY ONE CHILD AT A TIME.

Child's first name *
Your answer
Child's last name *
Your answer
Child's age as of June 3, 2018 *
Last school grade completed *
Are there any allergies or special needs we should be aware of? *
Your answer
Parent/Guardian Name(s) *
Your answer
Address *
Your answer
Phone Number *
Your answer
Emergency Contact (Name & Phone Number) *
Your answer
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