VBS Registration

July 20-23 | We can't wait for VBS; July 20-23 from 9:30-1:30pm
Cost is $50 and includes lunch, a snack, and a t-shirt.
for kids ages 3 (and potty trained) through 5th grade.
water day will be on thursday 7/23

Parent Name

*

Parent Email

*

This address will receive a confirmation email

Phone

*

Participant Name

*

Grade Completed in 2026

*

T-shirt size

*

Please select one option.

XS S M L XL

2nd Participant Name

Grade Completed in 2026

2nd participant t-shirt size

Please select one option.

XS S M L XL

3rd Participant Name

Grade Completed in 2026

3rd Participant t-shirt size

Please select one option.

XS S M L XL

Allergies or food restrictions

Buddy Request

Emergency Contact other than parent

*

Emergency Contact Phone

*

alternate pick up person (if applicable)

Consent for water day

*

Please select one option.

yes no

Consent to photograph

*

Please select one option.

yes no

Method of payment

*

Please select all that apply.

online, below at door

Payment

1 child ($50.00) 2 children ($100) 3 children ($150)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

July 20-23

We can't wait for VBS; July 20-23 from 9:30-1:30pm
Cost is $50 and includes lunch, a snack, and a t-shirt.
for kids ages 3 (and potty trained) through 5th grade.
water day will be on thursday 7/23

Please Fix the Following

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