Guardian’s Name *
Child’s Name
Grade Going intoPre-KKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th grade
Child’s Age
Phone Number of contact during this VBS
Child‘s Address
City, State Zipcode
Added Information (allergies, medicine, special needs) *
My child been saved/baptized.
We attend a local church.
What Church?
E-Mail
4 + 1 = ?Please prove that you are human by solving the equation *
