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VBS REGISTRATION FORM 2026

VBS 2026 REGISTRATION FORM JULY 20-23 from 9am-noon for Rising Kindergarten – Rising 5th Graders

Child’s First Name

Child’s Last Name

Parent’s First Name

Parent’s Last Name

Street Address

City

State

Zipcode

Parent’s Phone Number

Parent’s Email Address

Child’s Date of Birth

Child’s Grade (or equivalent grade if homeschooling) in Fall 2026? Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade

Allergies or Medical Conditions We Should Be Aware Of:

Please share any concerns you have about your child participating at VBS:

Emergency Contact Name

Emergency Phone Number

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