VBS 2024: Registration Child's Name * First Name Last Name Birth Date * MM DD YYYY Street Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Cell Phone * (###) ### #### Text Message? * Yes No Parent's Email * Parent's Name(s) * First Name Last Name First Name Last Name Allergies or Other Medical Conditions School Grade Just Completed * Select One Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Home Church Permission To Photograph Your Child? * Yes No Will Your Child Need Transportation to VBS? * Yes No Emergency Contact * First Name Last Name Emergency Contact Phone Number * (###) ### #### Thank you!Your child has been registered for VBS 2024!
