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Message from the Pastor
About Us
Calendar
Prayer Request
Contact Us

VBS REGISTRATION

ILLUMINATION STATION REGISTRATION

JUNE 14-18, 2026

CHILD'S NAME (Required)

PARENT/GUARDIAN NAME (Required)

MAILING ADDRESS (Required)

CONTACT INFORMATION

CHOOSE ONE OF THE FOLLOWING (Required)

PHONE NUMBER (Required)

CHOOSE ONE OF THE FOLLOWING (Required)

PHONE NUMBER (Required)

MEDICAL / EMERGENCY INFORMATION

MEDICAL or other INFORMATION we need to know (Please include food allergies) (Required)

EMERGENCY CONTACTS (Other than listed above) (Required)

DISMISSAL INFORMATION (Who may pick up your child at the end of each VBS day?) (Required)

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