VBS registration 
Dates: July 20th - 24th
Time: 6:30pm - 8:30pm
Event Address: United Church of Byron
Contact us at (815) 243-8777 / (815) 234-5277 or ucbyouthandchildren@gmail.com
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Basic Information
Please provide the basic information below; this will allow us to not only know your child before they arrive at VBS but will also allow us to provide a secure, safe and welcoming environment for all children participating in VBS this year.

Information collected in this section will include: Child's Name, Age, Grade entering (start of 2026/2027 school year) as well as parent guardian contact information and primary address of your child.

If registering multiple children please use separate forms each time.
Child's Name *
Child's Age
Grade Child will enter in 26/27 school year
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Primary mailing address for child
Primary Parent/Guardian Name
Primary Parent/Guardian Email *
Primary Parent/Guardian Phone Number *
Secondary Parent/Guardian Name
Secondary Parent/Guardian Email *
Secondary Parent/Guardian Phone Number
Does your Child have any dietary restrictions we should know about? *
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