VBS 2026 Student Registration

June 14-18 from 5:30-8:00 PM | Please fill out this form and click submit.

Name

*

Address

*

Date of birth

*

Emergency Contact

*

Emergency Contact Phone

*

Age Group or Grade Completed

*

Please select one option.

Baby Toddler 2-3yr Pre-K 4-5yr Kindergarten 1st Grade2 2nd Grade 3rd Grade 4th Grade 5th Grade Youth 6-12th Grade

Food or Drug Allergies

*

Description

June 14-18 from 5:30-8:00 PM

Please fill out this form and click submit.

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