VBS Registration 2013

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VBS 2013

June 24-28 6:30 -8:45 PM

Free Supper - 5:30 - 6:15 PM Nightly.

Open to all children from the age of 4 through the 6th grade. VBS is available at no cost although a medical/photography consent form will need to be signed prior to the start of VBS if registering online. A class for adults, too!

To download the full paper registration including the consent form to sign and return manually please click here.

Required *

Name of child: *

Age: *

School grade entering in fall of 2013? *

Address of child: *

City: *

State: *

Zip: *

Name of parent child resides with:

Home number of parent: *

Cell phone of parent:

Work number of parent:

In case of emergency phone number: *

Email:

Any special medical concerns? Please list: *

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