2026 VBS 5th Grade

July 6-8, 2026 | Complete this form for FIFTH GRADE students only and click submit.

PARENT INFORMATION

Name

*

Email

*

This address will receive a confirmation email

MOBILE Phone

*

ALTERNATE Phone

*

Address

*

EMERGENCY CONTACT

First and Last Name

*

Relationship to Child

*

MOBILE Phone

*

ALTERNATE Phone

*

CHILD'S INFORMATION

Child's First and Last NAME

*

Child's DATE OF BIRTH (mm/dd/yyyy)

*

This child is entering FIFTH GRADE next school year, 2026-27.

*

Please select one option.

Yes

Child's SHIRT SIZE Register by June 25th to get your VBS t-shirt

*

Please select one option.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult XL Adult 2XL Adult 3XL

Allergies / Medical Conditions

*

Description

July 6-8, 2026

Complete this form for FIFTH GRADE students only and click submit.

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