VBS 2017 Registration

Welcome! We are so excited about VBS this year! Register each child individually. (3yr - 5th grade)

Child's First Name

Child's Last Name

Parent's Name

Child's Birthday

Child's Grade

Allergies or Other Medical Conditions

Your contact info:

Email Address

Phone Number

What is the best way to reach you?

Email

Phone

Additional Information

Success! We can't wait to see you June 4th through 8th from 5:30pm to 8:30pm each day!