Register for VBS

We’re excited to be hosting VBS for ages Preschool (3 years old) - 5th grade. To register, complete the form below.

Parent / Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Primary Phone Number

(###)

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Alternate Phone Number

(###)

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Emergency Contact

First Name

Last Name

Relationship to Student

Phone Number

(###)

###

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Student Information

Student 1

Student 2

Student 3

Student 4

Student 5