Register for VBS 2010
Monday, July 12th - Thursday, July 15th
9:00am - 11:30am  More info. click here
Opening Day at the Fair * Sunday, July 11 * 11:30am - 1:00pm

Name of Child 1:

First Name
Last Name
Age
Last Grade Completed
Please list any allergies

Name of Child 2:

First Name
Last Name
Age
Last Grade Completed
Please list any allergies

Name of Child 3:

First Name
Last Name
Age
Last Grade Completed
Please list any allergies

Family Information

Street Address:

City:

Phone Number:

Name of Parents:

Email Address:

Emergency Contact Name and Phone Number:

Home Church:

Please list any comments or concerns that you think we should know: