VBS has been canceled this year ...
... But please stay tuned for 2023 and feel free to submit your name and contact info below to get updates.
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Child's Name *
Parent/Guardian Name *
Address (Street, City, State, Zip Code) *
Mailing Address (if different)
Phone *
Child's Birthdate *
Last Grade Completed in School *
Medical Information We Need to Know (Please Include any Food Allergies) Type None if None *
Emergency Contacts (Other than listed above) Names and phone numbers *
If your child is visiting our church, who are they a guest of?
May we have permission to photograph your child? *
May we have permission to use your child’s photograph for the purpose of promotion? *
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