VBS

June 21, 2021 5:30 PM - June 24, 2021 8:30 PM

447 out of 500 remaining tickets available

Type

Price

Quantity

VBS 0

Childs Name *

Age of Child *

Last Grade Completed in School *

Parent/Guardian Name *

Address *

City *

State *

Zip Code *

Mobile Number

Work Number

Email Address

Medical or other information we need to know. (Please include any food allergies)

Emergency Contacts (names, relationship, and number other than listed above)

Who may pick up your child at the end of each VBS day?

May we have permission to take your child's picture? *

Yes

May we have permission to use your child's photograph for the purpose of promotion? *

Yes