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VBS 2016 Registration
The dates for VBS this year are July 17th-22nd.
Please completely fill out a form for each child separately.
*
Indicates required field
Child's Name
*
First
Last
Birthday
*
Grade
*
3 Years Old
Pre-K (4-5 Years Old)
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Last Grade Completed
Transporation
*
Bus
Pick-Up
Pick Up Contact
*
Who will be picking your child up?
Parent Name
*
First
Last
Phone Number
*
Email
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Church?
*
Allergies? Special Needs?
*
Submit
Home
About Us
Mission and Beliefs
Times and Location
>
Events
Our Team
>
Pastor Luke's Blog
Classes
Church Documents
Listen
Connect
Serve