We are so excited to have your little one be apart of VBS this year! Please fill out the information below and click next to get to the payment page. Each child is $45 each, which includes crafts, snacks, and a VBS t-shirt.

Parent Name

First Name

Last Name

Parent Email

Parent Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Contact Number

Alternate Adult Pickup

Do you need extended daycare?

Hours: 8am-9am & 12pm-3pm $100 per camper Space is limited, first come first serve * separate email will be sent to confirm and pay

Yes

CAMPER INFORMATION

Camper 1 Name

First Name

Last Name

Camper 1 Shirt Size

Camper 1 Grade (Fall of 2024)

Camper 1 Allergies

*Does your camper need any accommodations?

Camper 1 School

What school are you going to in the fall?

Camper 2 Name

First Name

Last Name

Camper 2 Shirt Size

Camper 2 Grade (Fall of 2024)

Camper 2 Allergies

*Does your camper need any accommodations?

Camper 2 School

What school are you going to in the fall?

Camper 3 Name

First Name

Last Name

Camper 3 Shirt Size

Camper 3 Grade (Fall of 2024)

Camper 3 Allergies

*Does your camper need any accommodations?

Camper 3 School

What school are you going to in the fall?