VBS 2026 Registration

Student's Name

Parent's Name

Food Allergies?

Yes No

If yes to food allergies, please give a detailed explanation of the allergies and the severity of the allergy

This address will receive a confirmation email

Phone

Address

Child's Age (4 yrs-12 yrs)

Child's Grade

4yr - K 1st - 2nd 3rd - 4th 5th - 6th

Where does your family go to church? If you don't, put "none"

Description

July 20-24 from 9am -12:15pm

Please fill out this form and click submit.