VBS July 12-15, 2026

Name

Parent Name

This address will receive a confirmation email

Emergency Phone

Address

Grade entering

1st/2nd 3rd/4th 5th/6th 2 yrs old(workers & church kids only) 3yrs (workers & Church kids only) 4ys-kinder (workers & church kids only)

Will you attend all days?

Does your student have food allergies? If so please list. Be advised you may be asked to bring a snack for your child.

Does your child have any special needs? Please list as we will do our best to accommodate.

Does your family regularly attend another church?

Yes No

How did you hear about us?

Photo Release required-See Confirmation email

Description

July 12th-15th

Please fill out this form and click submit.
VBS July 12th-15th 6:30-8:45 pm