Guardian’s Name *
Grade Going intoPre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th grade
Phone Number of contact during this VBS
City, State Zipcode
Added Information (allergies, medicine, special needs) *
My child been saved/baptized.
We attend a local church.
2 + 2 = ?Please prove that you are human by solving the equation *