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VBS 2023 Registration
Register your child for Vacation Bible School June 11-15. Please submit one form per child participant.
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Participant Information
Participant Name
*
First
Last
Participant's Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Participant Age
*
Current School Grade Level
*
Select grade level
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Please list any known allergies or other special instructions
Parent / Guardian Information
Parent/Guardian Name
*
First
Last
Contact Phone
*
Authorized Pick Up Person(s)
Provide names of all persons authorized to pick up the participant from the event
Submit