2023 VBS K-5th Grade RegistrationParticipant registration form for Vacation Bible School! June 4 thru June 8 from 6:00-8:00 pmPlease enable JavaScript in your browser to complete this form.Participant's Name *FirstLastName of church you attend:Birthday *MM/DD/YYYYAge - by June 5, 2023 *Grade CompletedKindergarten1st Grade2nd Grade3rd Grade4th Grade5th GradeParents' NamesAddress *Please enter your street address, city, state/region, postal/zip code and country.Phone *(###) - ### - ####Name of Secondary Contact PersonFirstLastPhone Number for Secondary Contact Person(###) - ### - ####Parent Email *Does your child have food allergies? Please list. *Does your child have any medical or behavioral issues that we should know about.Names of adults who are allowed to pick my child up from VBS. *If your child is attending VBS as a guest please include the friend's name.Photo Release - VBS leaders have permission to photograph or film my child while participating in VBS activities. Photos or video may be used to share about the VBS program in the bulletin, newsletter, church website and church Facebook page. *YesNoWould you be interested in serving as a volunteer at VBS?YES! Please sign me up!No. Maybe next year!Submit