Please fill out this preregistration form for each of your children that will be attending VBS.  After you submit the form you will receive a "Thank You" message.  Refresh your browser window and the form will reload so you can fill it out for the next child. The first 40 families to preregister will receive an OFFICIAL CD with all of the VBS music before VBS even starts! Thank you!

Name *
Date of birth *
Date of birth
Address *
Home phone
Home phone
Cell phone
Cell phone
Emergency contact name *
Emergency contact name
Emergency contact phone number *
Emergency contact phone number