VBS Registration 2024

June 3rd-6th (5:00 - 7:30 PM) | For kids preschool - completed 5th grade

Please use this form for up to three (3) children. A separate registration
form must be used for additional participants.

Participant #1

Participant Name

Age

Grade

T-Shirt Size

Please select one option.

Youth Extra Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL

List all known allergies

Participant #2

Participant Name

Age

Grade

T-Shirt Size

Please select one option.

Youth Xtra Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL

List all known allergies

Participant #3

Participant Name

Age

Grade

T-Shirt Size

Please select one option.

Youth Extra Small Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult XXL

List all known allergies

Parent/Guardian Information

Parent/Guardian Name

This address will receive a confirmation email

Phone

Address

Relationship

I give consent for my child(ren)s image to be published online and in print

Please select all that apply.

Yes No

Payment

Suggested Donation (to help offset costs of supplies and dinner)

1 Child ($15) 2 Children ($30) 3 Children ($45) Donation Waived ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

June 3rd-6th (5:00 - 7:30 PM)

For kids preschool - completed 5th grade

Please use this form for up to three (3) children. A separate registration
form must be used for additional participants.

VBS Registration 2024

Description

Please Fix the Following