Register Your Child

T-SHIRTS MAYBE ORDERED COST IS $12.00, ORDER DEADLINE IS MAY 5TH 2024,

SHIRTS ORDERED AFTER THE 5TH WON'T BE GUARANTEED BY MAY 28TH.

PLEASE PAY AT OFFICE OR PLACE IN COLLECTION PLATE WITH IT EARMARKED FOR VBS SHIRT.

SHIRT FORMS AVAILABLE ON VBS TABLE.

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):