2019 VBS Registration Form
Ages K through 6th grade. (If you are a parent volunteer with PreK children, please list those children also.)

NOTE, PARENTS OF PRESCHOOLERS: Due to a shortage of workers, we will not have classes for any preschool children except the children of workers. If you would like to help with VBS, please contact Chris Ellis. We will open up PreK classes only if we have enough volunteers to do so.

This form can register up to 4 children. If you need to register more, complete form again when finished with first 4 children.
Parent/Guardian *
Your answer
Street Address *
Your answer
City/State/Zip *
Your answer
Primary Phone # *
Your answer
Secondary Phone # (if any)
Your answer
Email *
Your answer
Church you attend (if any)
Your answer
Emergency Contact (first and last name) *
Your answer
Emergency Contact Phone
Your answer
Additional persons authorized to pick up your child/ren (if any)
Your answer
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