VBS Child Registration

Child's Name *
Child's Name
Parent's Name *
Parent's Name
Parent's Cell Phone
Parent's Cell Phone
Address
Address
Which grade are they going into for Fall 2017?
Child's Date of Birth
Child's Date of Birth
If you would like to purchase a VBS T-shirt for your child, please indicate here. Cost: $12.00
Hero Central CDs are available for purchase. Cost: $5 ** If you purchase both a t-shirt & a CD, your cost total cost is discounted to $15