K-6th Grade VBS Registration- June 23-26, 9a-12p

Please fill out this form for each K-6th grade child you are registering.

Please register 4 & 5 year olds through the PreK registration link.

Child's Name

Grade entering

Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Last School Grade Completed

Birthdate

Gender

Male Female

Parent/Guardian Name

Home Church (if any)

Emergency Information

Emergency Contact #1

Phone

Emergency Contact #2

Phone

Allergies/Medical Info/Special Needs

Dismissal

Who can pick up your child at the end of each VBS Day?

Name

Relationship

Name

Relationship

Description

June 23-26, 2025/ 9a-12p

Please fill out a form for each child Grades K-6th that you would like to register. Please fill out the other registration form for 4 & 5 year olds.