VBS is August 5th – 8th,  from 6-8:30 pm with free supper from 5:15 pm to 5:50 pm. VBS 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. Enter 0 for pre-K and Kindergarten.
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 (enter 0 for pre-K thru K) (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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