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VBS 2025 Registration
Beginning Monday, July 7 to Friday, July 11 from 9 a.m. to 12 p.m. daily.
For ages 4 to 11
Parent First Name
*
Parent Last Name
*
Email Address
*
Street Address
*
Apartment, suite, etc
City
State/Province
Postal Code
Phone Number
*
Contact Number
Alternate Emergency Contact Name
Alternate Emergency Contact Phone
*
Church Affliation
Additional Information or Questions
0 / 180
Children Registration
First Name
*
Last Name
*
Year of birth
*
Please select the year of birth
2014
2015
2016
2017
2018
2019
2020
2021
Gender
*
Female
Male
Does your child have any allergies we need to be made aware of?
*
Yes
No
Please describe your child's allergies
*
NA
Does your child have any medical conditions we need to be made aware of?
*
Yes
No
Please describe your child's medical condition
*
NA
Submit Registration