2024 VBS Registration

June 17-20, 9:00 am - 12:15 pm

Questions? Contact , [email protected] (712)-359-7706 for additional information.

Registration Form

* Indicates required field

Name *

First

Last

Age *

Grade (entering this fall) *

Parents / Guardian *

Address *

Home / Cell Phone *

Email *

Need help with transportation? *

Yes No

Emergency Contact *

Emergency Contact Phone *

Allergies *

Other Medical Concerns *

May we publish picture(s) of your child on our church website and/or Facebook page? *

Yes No

Can your child ride with other adults or on a bus with a licensed driver? *

Yes No

Submit