Register for VBS

-back to VBS 2011-


VBS 2011

July 25-29

Enter child’s information here:

Child’s First Name:
Child’s Last Name:
Date of Birth:
T-Shirt Size
(T-Shirts are optional. The cost is $10 each):
Child’s Grade Level
(What grade are they going into in the Fall) [If your child is in 5th grade, they can be a volunteer helper.]:
Address:
City:
State:
Zip:
Parent/Guardian’s First Name:
Parent/Guardian’s Last Name:
Phone:
Email:
Is there anything we need to know (such as allergies) in order to better care for your child?