Step 1 of 2 50% Online registration for children 3 years through 6th grade. Fill out one form per child.Contact DetailsParent / Guardian Name(Required) First Last Parent / Guardian Phone(Required) Parent / Guardian Email(Required) Parent / Guardian Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Emergency Contact Name(Required) First Last Emergency Contact Phone(Required) Emergency Contact Relationship to Child(Required) Person Permitted To Pick Up Child(Required) First Last Additional Person Permitted To Pick Up Child First Last Child Name(Required) Gender(Required)MaleFemaleGrade Level Entering Fall 2024(Required)Pre-K (3-4 years)KindergartenGrades 1-2Grades 3-4Grades 5-6Name of Home Church (N/A if none) If you and your family will be joining us for a pre-VBS meal starting at 5:30 pm, how many will be attending with you for the meal? Child T-shirt Size(Required)Youth X-SmallYouth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult X-LargeHelp us to keep your child safe with answers to the following questions.List allergies, medical conditions or special needs that we should know.(Required) Does your child carry an epi-pen?(Required)Please note: if yes, it is the responsibility of the child's guardian to ensure the child has the epi-pen at every drop off and pick up.) NameThis field is for validation purposes and should be left unchanged. Δ