TREASURED VBS REGISTRATION FORM

June 14-18, 5:30-8:00pm | Please fill out this form and click submit. One form per child will need to be filled out. This year our VBS will be in person, ages 5 through 12. Registration closes June 12, 2022.

Parent or Guardian's Name

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Parent or Guardian's Email

*

This address will receive a confirmation email

Parent or Guardian's Phone

*

Address

*

Child's Name

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Child's Age

*

Child's Birthdate

*

Child's Grade (2021-2022 School Year)

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Please select one option.

Preschool Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

Allergies, Medical Conditions, or Special Needs

Home Church

*

I give permission for pictures taken of my child during VBS to be used for illustration, spotlight summary videos, and web content.

*

Please select all that apply.

Yes No

Request for my child to be in the same group as:

Emergency Contact Information

Emergency Contact

*

Emergency Contact Phone

*

Relationship to Child

*

Description

June 14-18, 5:30-8:00pm

Please fill out this form and click submit. One form per child will need to be filled out. This year our VBS will be in person, ages 5 through 12. Registration closes June 12, 2022.

Please Fix the Following

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