Register Child

We're so glad you will be joining us for VBS this year! We're going to have a great time getting closer to God and learning that He is with us wherever we go.

VBS is open to all children, ages 3 (potty-trained) to 5th grade.
Dinner will be served at 5:30 pm each day.
Likely dinner offerings for the week:
Macaroni and cheese, chicken nuggets with tater tots, ham or turkey sandwich with chips, pasta with meatballs, grilled cheese and fries. Fruit cups will be offered every evening.

We never want a child to go without dinner, please let us know if your child will be joining us, so we can make sure to have enough for everyone.

• Child's First Name
• Child's Last Name
• Date of Birth
• Grade Completed Choose one... Pre-KKindergarten1st2nd3rd4th5th
• Gender Choose one... MaleFemale
• Parent/Guardian's First Name
• Parent/Guardian's last Name
• Address
• City
• State Choose one... AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDistrict of ColumbiaDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
• Zip
• Mailing Address (if different than above)
• Cell Phone
• Email
• Emergency First Name
• Emergency Last Name
• Emergency Phone
• Is there a special friend your child would like to be with
• Special Needs / Allergies
• Person Responsible for Pickup After VBS
• Their Phone Number
• Their Relationship to Child
• Do you agree to allow photos of your child to be used in church presentations or church promotional materials? Choose one... YesNo
• We are offering dinner at 5:30 PM each night of VBS. Will your child be joining us for dinner?

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