2022 VBS

June 20, 2022 @ 6:00 pm - 8:15 pm

|Recurring Event (See all)

Pre-Register Below for This Year’s VBS!!!

Child's First and Last Name(Required)

Street Address(Required)

Birth Date(Required)

Last School Grade Completed(Required)

Mom and Dad's (Guardians) First and Last Names(Required)

Please List Two Parent Phone Numbers, if Possible.(Required)

Please List an Emergency Contact (Name and #) In Case We Cannot Reach You(Required)

Please List ALL Allergies We Should Be Aware Of

Does Your Child Have any Physical or Developmental Disabilities (This will help us prepare for your child to have the most enjoyable week possible)

Does Your Child Require 1-on-1 Adult Supervision(Required)

Your Child's photo will likely be taken throughout the week. If you do not wish to allow your child's photo to be taken, please select "No" below.

Phone

5184