VBS is June 18-21 from 6-8 pm with free supper at 5:30 pm and is open to kids ages 3 to 6 grade . If you’d like to sign up your kid(s) please complete the form below. We ask that you please fill out one form per child.
We look forward to you joining us this year!

Child's Name (required)

Gender (required)
MF

Age (required)

Date of Birth (required)

Last Grade Completed (required)

Parent's Name (required)

Street Address (required)

City (required)

State (required)

Zip Code (required)

Home Phone (required)

Cell Phone

Your Email (required)

Home Church

Allergies or Medications

Emergency Contact (required)

Relation to Child (required)

Phone # (required)

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