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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)