Family VBS 2025 Registration
June 9-12, 2025, 6-8:30pm | Please fill out this form and click submit.
Adult 1
Name (First and Last)
*
Phone
*
Email
*
This address will receive a confirmation email
Adult 2
Name
Child 1
Name
Age
Please select one option.
Infant (17 mos and under)
Toddler (18 mos -2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Select Option
Infant (17 mos and under)
Toddler (18 mos -2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Grade (starting in Fall- If applicable))
Please select one option.
K
1
2
3
4
5
6
7
8
9
10
11
12
Select Option
K
1
2
3
4
5
6
7
8
9
10
11
12
Allergies or Special Accommodations needed?
Child 2
Name
Age
Please select one option.
Infant (17mos. and under)
Toddlers (18mos. - 2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Select Option
Infant (17mos. and under)
Toddlers (18mos. - 2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Grade (starting in Fall- If applicable)
Please select one option.
K
1
2
3
4
5
6
7
8
9
10
11
12
Select Option
K
1
2
3
4
5
6
7
8
9
10
11
12
Allergies or Special Accommodations needed?
Child 3
Name
Age
Please select one option.
Infant (17mos and under)
Toddler (18mos.-2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Select Option
Infant (17mos and under)
Toddler (18mos.-2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Grade (starting in the Fall- If applicable)
Please select one option.
K
1
2
3
4
5
6
7
8
9
10
11
12
Select Option
K
1
2
3
4
5
6
7
8
9
10
11
12
Allergies or Special Accommodations needed?
Child 4
Name
Age
Please select one option.
Infant (17mos. and under)
Toddler (18mos. - 2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Select Option
Infant (17mos. and under)
Toddler (18mos. - 2)
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Grade (starting in the Fall- If applicable)
Please select one option.
K
1
2
3
4
5
6
7
8
9
10
11
12
Select Option
K
1
2
3
4
5
6
7
8
9
10
11
12
Allergies or Special Accommodations needed?
Additional Family Members
Name
If a minor, please list Age and Grade (starting in the Fall-If Applicable)
Allergies or Special Accommodations needed?
Submit
Description
June 9-12, 2025, 6-8:30pm
Please fill out this form and click submit.
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