VBS 2017 Pre-Registration

Thank you for visiting our VBS registration form. Please fill out the following sections of the form to pre-register your child for VBS. The top section is for your family's information. The child section needs to be filled out for each child you plan on dropping off at VBS this year. The authorized pickup section needs to be filled out for each person authorized to pick up your child without the parent tag. Each night, every parent will be given a special code that matches their child. That code will allow you to pick up your child. If that code is lost, we will varify that you are on the list before releasing your child, or we will need to contact someone on the list before releasing your child. Children must be 4 by June 1st, 2017 to participate. Fields with a * before them are required.

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* Family Name:

* Address:
Address 2:
* City:
* State:
* Zip Code:
Home Phone:
* Do you attend church anywhere? Yes No

Please add at least 1 child and 2 authorized pickups before completing the form.