VBS Registration Form

We are looking forward to seeing you there!

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Who are you registering for VBS?

Camper
(Pre-K - 6th grade)

Youth Helper
(7th - 12th grade)

Teacher
(must be Virtus Trained)

* required

How many persons are you registering*:

Parent 1 Name*

Parent 1 Name is required.

Phone*

Parent 1 Phone is required.

Parent 2 Name (optional)

Phone (optional)

Mailing Address*

Mailing Address is required.

Apt. No.

City*

City is required.

State*

Zip Code*

Phone Number

Emergency Contact*

Emergency Contact is required.

Emergency Phone Number*

Emergency Phone Number is required.

*Help us control SPAM. What is 21 + 2?

Please answer the question before submitting* is the wrong answer. Try again.