2024 Christmas In July VBS-July 15-19 6:30pm-8:30pm

Parent Name

Parent Email

This address will receive a confirmation email

Cell Phone

Address

Authorized Adult for Pickup (please list all persons)

Child 1 Name

Child 1 Grade (Fall '24)

Child 2 Name

Child 2 Grade (Fall '24)

Child 3 Name

Child 3 Grade (Fall '24)

Child 4 Name

Child 4 Grade (Fall '24)

Child 5 Name

Child 5 Grade (Fall '24)

*child 6 and above list name and grade

*please list any allergies/medical concerns

Description

Please fill out this form and click submit.