VBS 2025 Registration Form
June 22-25, 2025 6pm-8:30pm nightly | Thank you for registering for VBS!
Child's Name
*
Birthdate
*
Gender
*
Please select one option.
Male
Female
Grade Entering 25/26?
*
Please select one option.
P3
P4
K5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Special Friends
Select Option
P3
P4
K5
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Special Friends
Allergies/Medical Concerns?
*
Parent/Guardian's Name
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Email
*
This address will receive a confirmation email
Church Affiliation?
*
Do you have a friend you would like to be placed with? List one name here. We will do our best to group selected friends together in the same crew, but we cannot promise all requests will be possible.
Submit
Description
June 22-25, 2025 6pm-8:30pm nightly
Thank you for registering for VBS!
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