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Please note: Each child's grade is considered the one they will be entering in the fall.

Example: A child who will be graduating this summer from the 5th grade and will be entering the 6th grade in the fall is considered a 6th grade student for VBS.

Pre-Registration

Full Name of each child

Age of each child

Name(s) of caregiver

Address

City

State

Zip

Phone

Allergies/Medications

Emergency contact name

Emergency contact phone

Are you currently looking for a church home?   Yes  or   No

Would you like to know about upcoming special events?   Yes  or   No

How did you hear about this event?