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Kick Off is Sunday June 24 @ 4 p.m.
Huge blow up slides • Baseball Game • Basketball Game • Snow cones

For children age 4  – just completing 6th grade

VBS 2018

VBS will begin at 5:30 p.m. each night.

Register your children now!

Child's Name

Age

Grade Just Completed

Please list any allergies, medications, or other relevant information


Child's Name

Age

Grade Just Completed

Please list any allergies, medications, or other relevant information


Child's Name

Age

Grade Just Completed

Please list any allergies, medications, or other relevant information


Child's Name

Age

Grade Just Completed

Please list any allergies, medications, or other relevant information


Parent or Guardian*

Address

City, State, Zip Code

Cell Number*

Secondary Contact Number

Email Address

Emergency Contact other than parent or guardian

Emergency Contact Phone Number

Allowed to pick up other than Parent or Guardian (name & phone number)