2025 VBS Registration - 2 Children
Please fill out this form and click submit.
Parent/Guardian Name:
*
Home Address:
*
Email Address:
*
This address will receive a confirmation email
Emergency Phone:
*
Home Church:
Child 1
Child's Name
*
Gender:
*
Please select one option.
Male
Female
Select Option
Male
Female
Age: (kids must be potty trained)
*
Please select one option.
3
4
5
6
7
8
9
10
11
12
13
14
Select Option
3
4
5
6
7
8
9
10
11
12
13
14
Grade Completed:
*
Please select one option.
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Select Option
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Food Allergies and Medical Concerns:
Child 2
Child's Name
*
Gender:
*
Please select one option.
Male
Female
Select Option
Male
Female
Age: (kids must be potty trained)
*
Please select one option.
3
4
5
6
7
8
9
10
11
12
13
14
Select Option
3
4
5
6
7
8
9
10
11
12
13
14
Grade:
*
Please select one option.
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Select Option
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Food Allergies and Medical Concerns:
Submit
Description
Please fill out this form and click submit.
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