VBS Registration

June 18-20 at 6pm-8pm | Thank you for registering! VBS will begin June 18-20 every night at 6pm-8pm. If you have any questions, please let me know! 540-692-4353

Name of child attending VBS

Name

*

Address

*

Current Grade

*

Please select all that apply.

K5 1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade

Parent/Guardian 1

First Name

*

Last Name

*

Phone

*

Parent/Guardian 2

First Name

Last Name

Phone

Transportation:

*

Please select all that apply.

I will drive-in my child(ren) My child(ren) will need transportation

Description

June 18-20 at 6pm-8pm

Thank you for registering! VBS will begin June 18-20 every night at 6pm-8pm. If you have any questions, please let me know! 540-692-4353

Please Fix the Following

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