Registration for Family VBS 2022: Shine Like the Son! June 13th-16th
Please fill out this form and click submit.
Please fill out a separate registration form for each person who will be attending Family VBS at Believers Church.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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PE
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Which small group are you in?
*
Please select one option.
Infant 0-18 months
Toddler 18-months-3 years
Pre-K
Kindergarten/ 1st Grade
2nd/3rd Grade
4th, 5th, 6th Grade Boy
4th, 5th, 6th grade Girl
7th-9th Grade
10th-12 Grade
Young Adult/ Recharge
Adult
T-Shirt Sizes
*
Please select one option.
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
XL
2X
3X
Select Option
Youth Small
Youth Medium
Youth Large
Small
Medium
Large
XL
2X
3X
Suggested Donation for T-Shirts is $10
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
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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
Submit
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