Register Your Child

VBS is FREE and open to ALL kids in our community!
Ages 5 through completed 5th grade are invited to join us. (Children must be fully potty trained to attend. Thank you for understanding.)

Students registered by May 11 will receive a VBS T-Shirt. Any child registered after this date is not guaranteed a shirt.

VBS Dates & Times:
Monday, June 1 – Wednesday, June 3
6:30–9:00 PM each night
Plus a special Family Night on Thursday, June 4 at 6:30 PM!

Food and snacks will be provided for all kids each night, and a meal will be provided on Family Night for the whole family.

We can’t wait for a fun, exciting week of VBS with your kids!

We found some errors when you submitted your information. Please see below and fill in the information needed.

Parent Personal Information

Parent First Name:

Parent Last Name:

Address 1:

Address 2:

City:

Country:

State:

Zip:

Email:

Re-Enter Email:

Home Phone Number: (xxx-xxx-xxxx)

Cell Phone Number: (xxx-xxx-xxxx)

Other Phone Number: (xxx-xxx-xxxx)

Emergency Contact

Emergency Contact First Name:

Emergency Contact Last Name:

Emergency Phone 1: (xxx-xxx-xxxx)

Emergency Phone 2: (xxx-xxx-xxxx)

Alternate Pickup First Name:

Alternate Pickup Last Name:

Alternate Pickup Phone: (xxx-xxx-xxxx)

Other Information

Home Church (If Applicable):

Child's Date of Birth::

Is your child fully potty trained::