VBS 2025 REGISTRATION

July 20-24, 2025 from 6:00-8:30 p.m. | Please complete this form to reserve your child's space in our 2025 VBS.

Child's Name

*

Gender

*

Please select one option.

Male Female

Birthdate

*

Grade Completed

*

Please select one option.

Pre-K 3 Pre-K 4 Kindergarten 1st 2nd 3rd 4th 5th 6th 7th

Address

*

Home Phone

Cell Phone

*

Parents/Guardian

*

Email

*

This address will receive a confirmation email

Emergency Contact

*

Relationship to Child

*

Phone

*

Who can pick up your child?

*

Name of home church

Food allergies?

*

Please select one option.

Yes No

List food allergies

Medical concerns

*

Please select one option.

Yes No

Explain any medical concerns

May we use your child's photo in promotional materials?

*

Please select one option.

Yes No

T-Shirt Order (Optional):

Magnified VBS t-shirts are available for $12 each in youth sizes and $15 each in adult sizes. Please select the size needed below and give Ms. Kortney the money by June 27th.

Youth Sizes: ($12)

Please select all that apply.

XS S M L

Adult Sizes: ($15)

Please select all that apply.

S M L XL

Description

July 20-24, 2025 from 6:00-8:30 p.m.

Please complete this form to reserve your child's space in our 2025 VBS.

Please Fix the Following

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