2025 VBS 3rd Grade
July 7-10, 2025 | Complete this form for THIRD GRADE students only and click submit.
PARENT INFORMATION
Name
*
Email
*
This address will receive a confirmation email
MOBILE Phone
*
ALTERNATE Phone
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
EMERGENCY CONTACT
First and Last Name
*
Relationship to Child
*
MOBILE Phone
*
ALTERNATE Phone
*
CHILD'S INFORMATION
Child's First and Last NAME
*
Child's DATE OF BIRTH (mm/dd/yyyy)
*
This child is entering THIRD GRADE next school year, 2025-26.
*
Please select one option.
Yes
Select Option
Yes
Child's SHIRT SIZE Register by June 29th to get your VBS t-shirt
*
Please select one option.
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Select Option
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Allergies / Medical Conditions
*
Submit
Description
July 7-10, 2025
Complete this form for THIRD GRADE students only and click submit.
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