Get Ready for Vacation Bible School

June 26-30

9:00 a.m. – 12:00 p.m.

We are in need of volunteers. Are you able to volunteer?

Register here to Volunteer

VBS 2023 Registration

• Child(ren) Information

  *Must be Age 4 by 1/1/2023
• How many children are you registering for?*
  1234
• Name of Child (1)*
• Child (1) Age*
  Please enter a number from 4 to 13.
• Allergies/Medical Information/Other
• Name of Child (2)
• Child (2) Age
  Please enter a number from 4 to 13.
• Allergies/Medical Information/Other
• Name of Child (3)
• Child (3) Age
  Please enter a number from 4 to 13.
• Allergies/Medical Information/Other
• Name of Child (4)
• Child (4) Age
  Please enter a number from 4 to 13.
• Allergies/Medical Information/Other

• Parent/Guardian Information

• Patient/Guardian Name*
• Email Address*
• Best Phone Number*

• Emergency Contact Information

• Name & Phone Number*
• Name & Phone Number

• Dismissal Information

  (Names of person(s) who may pick up child)
• Name & Phone Number*
• Name & Phone Number

• Additional Information

• If possible my child would like to be in the same group as:

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