VBS 2018

 
 

Child's Name:

Address:

City/State/Zip

Phone:

Date of Birth:

Grade completed as of May 2018:

Parent/Guardian Names:

Parents Cell Phone:

email:

In case of emergency, please contact:

Emergency Contact Number:

Allergies or other medical conditions:

Do you and your family attend church regularly?

If you attend church regularly, what church do you attend?

Will your child need a ride to VBS?

What is your child/youth T-shirt size?

June 4th-8th,2018
8:45am - Noon
Ages 4 years old - 8th Grade