Child Info Form - VBS 2024
June 25 - June 28 | Please fill out one form per child participating. Thank you.
Child's Full Name
*
Confirmation Email
*
This address will receive a confirmation email
Age
*
24/25 Grade Level
*
Allergy/Medication
*
Please select one option.
Gluten
Dairy
Peanut
Red Dye
Option
Select Option
Gluten
Dairy
Peanut
Red Dye
Option
Parent's Name
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
VBS T-shirt? $10 - Pay at time of Event
*
Please select one option.
Yes
No
Select Option
Yes
No
Submit
Description
June 25 - June 28
Please fill out one form per child participating. Thank you.
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