2019 VBS Participant Registration

Participant's Information

Child's Name

Child's Birthday

Fall 2019 Grade

Allergies?

Medical concerns?

Parent Information

Parent's Full Name

Parent's Email

This address will receive a confirmation email

Address

Emergency Contact

Emergency Contact's Full Name

Emergency Contact's Relationship

Emergency Contact's Phone

Description

Monday July 15th - Thursday July 18th: 5:30pm to 8:30pm, Saturday July 19th: 11:00am to 1:00pm

Please fill out this form and click submit to register your child for the 2019 VBS.