VBS Registration

Victory VBS

Register for Victory VBS - July 16-20 from 6 - 8 p.m.

Victory VBS is for 4 year-olds to those entering 5th grade. Nursery is provided for Volunteer's children.
Please fill out the form below. The information you provide will help us in food preparation for the week.

Child's Name:*
Date of Birth:*
Grade entering in Fall:*
Parent/Guardian: *
City/State/Zip: *
Address Line 1
Address Line 2
City
State/Prov.
Postal Code
Cell Phone:*
Email Address*
Emergency contact name & number, other than person listed above: *
Special needs/Allergies/Other concerns:*
Is your child a guest of a friend? if so, who.