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VBS Registration

We would welcome you to register your child for Vacation Bible School online.  Please only register one child per online submission (i.e. three children would require three separate submissions).

Child First Name:     Child Last Name:  

Parent First Name:    Parent Last Name:  

Address:    City:    Zip Code:  

E-mail Address:  

Grade Going Into This Fall:    Birth Date:  

Emergency Phone Contact Number:    Alternate Phone Number:  

WIll you be attending VBS with your child?          
No:   
Yes:    Which Nights?  

Is there a friend you would like your child to be grouped with?  

Does your child have any special needs or allergies that we should be aware of?  If yes, please explain below:



How did you hear about VBS at Forum (i.e. Forum attender, from a friend, Internet)?