K-6th Grade VBS Registration- June 22-23, 9a-12p

June 22-23, 2026 / 9a-12p | Register here for grades K-6th. Please fill out the other registration form for 4 & 5 year olds.

Please fill out this form for K-6th grade children.

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

Child Registration

#1 Child's Name

*

Grade entering in the Fall

*

Please select all that apply.

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

Birthdate

*

Gender

*

Please select one option.

Male Female

Allergies/Medical Info/Special Needs

*

#2 Child's Name

Grade entering in the Fall

Please select one option.

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

Birthdate

Gender

Please select one option.

Male Female

Allergies/Medical Info/Special Needs

#3 Child's Name

Grade entering in the Fall

Please select one option.

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

Birthdate

Gender

Please select one option.

Male Female

Allergies/Medical Info/Special Needs

Parent/Guardian

Name

*

Phone

*

Address

*

Home Church (if any)

*

Emergency Information

Emergency Contact (other than parent listed above)

*

Phone

*

Pick Up

Is there anyone allowed to pick up your child other than the parent and emergency contact listed above?

Name

Relationship

Description

June 22-23, 2026 / 9a-12p

Register here for grades K-6th. Please fill out the other registration form for 4 & 5 year olds.

Please Fix the Following

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