VBS Registration Monday, July 8 – Friday, July 12, 2024 6:00pm – 8:30pm Kids Entering Kindergarten through 6th Grades Contact Form Demo (#3) (#4) Child's NameChild's Gender- Select -MaleFemaleChild's BirthdaySchool Grade Completed- Select -Pre-KKindergarten1st2nd3rd4th5thAddressAddress Line 1Address Line 2CityStateZip CodeParent/Guardian NameParent/Guardian EmailParent/Guardian PhoneRelationship to ChildIs this Parent/Guardian the Emergency Contact for the child? Yes NoEmergency Contact NameEmergency Contact PhoneWho Can Pick Up Your Child?Does the child currently attend a Church? Not Presently Family Life Church OtherWhat is the Church Name?Does the child have any Food Allergies or Medical Conerns? Yes NoList Any Food Allergies or Medical ConcernsSubmit Form