Into The Wild VBS - 2019 Registration

4 yrs thru 5th Grade

 

Please complete the form below

Child's Name *
Child's Name
Required
Required
Required
Child's Name #2
Child's Name #2
Required
Child's Name #3
Child's Name #3
Required
Child's Name #4
Child's Name #4
Required
Parent Information
Parent/Guardian Name *
Parent/Guardian Name
Required
Required
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Required
Required
Emergency Phone Number *
Emergency Phone Number
Required
Required (put none if none)
Not Required
I understand I need to come in the first day of VBS to complete registration. *
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