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  • "Shipwrecked: Rescued by Jesus"
    1-Day VBS & Family BBQ

    July 14th | 9 am - 4 pm

    VBS IS OPEN TO CHILDREN ENTERING

    KINDERGARTEN - 6th GRADES ONLY

  • CHILD REGISTRATION #1

  • FIRST & LAST NAME

  • GRADE ENTERING & DOB:

  • T-SHIRT SIZE

  • FOOD ALLERGIES/MEDICAL CONDITIONS
    If none, please type N/A in the box.

  • (Optional): Name of one friend child would like to have in their crew:

  • CHILD REGISTRATION #2

  • FIRST & LAST NAME

  • T-SHIRT SIZE

  • GRADE ENTERING & DOB

  • FOOD ALLERGIES/MEDICAL CONDITIONS
    If none, please type N/A in the box.

  • (Optional): Name one friend child would like to have in their crew

  • CHILD REGISTRATION #3

  • FIRST & LAST NAME

  • T-SHIRT SIZE

  • GRADE ENTERING & DOB

  • FOOD ALLERGIES/MEDICAL CONDITIONS
    If none, please type N/A in the box.

  • (Optional): Name one friend child would like to have in their crew.

  • PARENT/GUARDIAN INFORMATION

  • EMERGENCY CONTACTS:

  • Emergency Contact Name & Phone Number