The Ultimate Pep Rally Kid’s Festival Registration Form

July 16-20
Ages 3-12
6:00 – 8:30 PM

Name of the child attending VBS
Date of Birth of child attending VBS
Age of the child attending VBS
Name and ages of any siblings attending
Grade completed of the child attending VBS
Address of the child attending VBS
Parent or Guardian Name and Address
Emergency Contact Information
Please note any special needs, allergies, concerns
Please note if there is a special friend your child would like to be with.