Vacation Bible School Every day from June 24 to June 28 8:45 pm - 12:30 am Featured VBS Registration Child's Name* First Last Parent's Name* First Last Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone*Work/Cell Phone*Parent's Email* Grade Completed*Entering KindergartenKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th GradeChild's Date of Birth* MM slash DD slash YYYY Medical Information We Should Know* Food or Other Allergies* Emergency Contact 1* First Last Phone*Emergency Contact 2* First Last Phone*Permission to photograph/video your child for use on Family night or other promotional purposes only?* Yes No Who may pick up the child at the end of the day?* Does the child attend Sunday School?* Yes No How Did You Hear About Vacation Bible School?* EmailThis field is for validation purposes and should be left unchanged. Δ SHARE ON Twitter Facebook Buffer LinkedIn Pin It