VBS DATES: June 2-6, 2025 8:30AM to 12:30PM Grade Assigned: Child's Name * First Name Last Name Date of Birth: * MM DD YYYY * Male Female Grade Completed in 2024-2025 School Year * Pre-K Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Sixth Grade Age (Must be 3 years old by June 2, 2025) * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent's Name: * First Name Last Name Phone: * (###) ### #### Alternate Phone Number: (###) ### #### Member of a Church Yes No If yes, what church? Allergies * Additional Information we may need to know: * Thank you!