Event Registration

2019 VBS Registration ($15.00 fee per child required, $25 per family)

Register for our event by filling out the information below:

*** NOTE - The Pre-Kindergarten, Kindergarten, 1st and 2nd grade classes are full. We are no

longer accepting registrations for those age groups. Please use the form below to

register 3rd - 5th grade (last grade completed) children.


Please enter your full address:

Your contact info:


Child's Age Information



Emergency Contacts (other than listed above)


Dismissal Information

Other individuals authorized to pick up your child at VBS

(If these field are left blank, only the individual listed above will be authorized to pick up your child)



After completing and submitting the registration form, you will need to click on "Online Giving" to submit your $15.00 fee per child or $25 per family. You may also submit payment in person at the chuch office (Monday - Thursday 9 a.m. - 5 p.m.).

NOTE: YOUR CHILD WILL NOT BE OFFICIALLY REGISTERD UNTIL PAYMENT IS RECEIVED.


Click on the register icon to submit this registration.

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