Join us Sunday, June 28 - Thursday, July 2, 2015

for a One-of-a-kind VBS Adventure!

Nursery & Preschool Ages are reserved for our VBS Volunteer's Children Only.

Sorry for any inconvenience.

VBS Registration

Child's Name

First Name

Last Name

Child's Gender

Child's Birthdate

YYYY

Child's Age

Last School Grade Completed

Street Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

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Parent's Cell Phone

(###)

###

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Email Address

Any Allergies or other Medical Conditions

Emergency Contact

First Name

Last Name

Emergency Phone

(###)

###

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