PreK VBS Registration- June 22-23, 9a-12p

This is for 4 & 5 year olds only.

VBS participants must be potty trained. Please register older children through the other registration link.

VBS Registration

#1 Child's Name

Age

4 years old 5 years old

Birthdate

Gender

Male Female

Allergies/Medical Info/Special Needs

#2 Child's Name

Age 4 years old 5 years old

Birthdate

Gender Male Female

Allergies/Medical Info/Special Needs

Parent/Guardian

Name

Phone

This address will receive a confirmation email

Address

Home Church (if any)

Emergency Information

Emergency Contact (other than the parent listed above)

Relationship

Phone

Pick Up

Who can pick up your child other than the parent and emergency contact listed above?

Name

Relationship

Phone

Description

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

Please fill out this form for each child you would like to register and click submit.