2021 VBS Registration Form
Join us for our VIRTUAL VBS June 21-24 for anyone in Pre-K through 12th Grade.
VBS 2021 Registration Form - Concrete and Cranes
Child's First Name *
Child's Last Name *
Parent/Guardian Name *
Street Address
City
State
Zip Code
Home Number
Cellphone Number
Email
AGE *
Birth Date *
MM
/
DD
/
YYYY
Grade Completed By July 2021 *
If your child is visiting with us for VBS and not a member, who is he/she a guest of or was invited by?
May we have permission to use your child's photograph for the purpose of promotion?
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