2022 VBS

Name: 2022 VBS
Start: 2022-06-20T18:00:00-04:00
End: 2022-06-20T20:15:00-04:00

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)

Mother's (Guardian) First and Last Name(Required)

Mother's (Guardian) Cell Phone #(Required)

Father's (2nd Guardian) First and Last Name

Father's (2nd Guardian) Cell Phone #

Please List 2 Emergency Contacts (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)

Child's T-shirt Size(Required)