Vacation Bible School - Student Registration
June 19-22, 2023 | Please fill out this form and click submit.
Theme: The Treasure Trail
June 19-22, 2023
9:30-11:45 am
Ages 4 years thru 6th Grade
Child's Information
Name
*
Child's Birthdate (mm/dd/yyyy)
*
Child's Age/Last Grade Completed
*
Please select one option.
4 years old
5 years old
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Select Option
4 years old
5 years old
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Child's T-shirt Size
*
Please select one option.
Youth XS (2-4)
Youth S (6-8)
Youth M (10-12)
Youth L (14-16)
Youth XL (18)
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Select Option
Youth XS (2-4)
Youth S (6-8)
Youth M (10-12)
Youth L (14-16)
Youth XL (18)
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Food Allergies?
*
Please select one option.
No
Yes
If yes, please list food allergies.
Parent's Information
First Name
*
Last Name
*
Cell Phone
*
Email Address
*
This address will receive a confirmation email
Mailing Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
How did you learn about our VBS? (Check all that apply)
*
Please select all that apply.
I am a Brown Trail member
Invited by a friend
Saw it on website
Saw it on electronic sign
Other (Optional: Please explain below)
Was your child invited to VBS by a Brown Trail member?
*
Please select one option.
No
Yes! They were invited by (list name below)
Submit
Description
June 19-22, 2023
Please fill out this form and click submit.
×
Please Fix the Following