Child's Age (must be 4 years old by 6/30/23)
3
4
5
6
7
8
9
10
11
12

Relationship to Child
Mom
Dad
Grandma
Grandpa
Friend

T-Shirt Size (youth sizes)
X-Small
Small
Medium
Large
X-Large

Emergency Contact #2

Phone Number

Relationship to Child

Any Allergies?

Home Church

Name of VBS Buddy (optional)

Payment Method
Online
Drop check off in office
Mail check