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Please complete the form below to register your child for our power up VBS!

POWER UP VBS is July 7-10 from 6:30-9:00pm at our Teays Valley Campus. We hope to see you there!

If more than one, please separate each name and age with the return key
Home Address *
Home Address
Parent Phone Number
Parent Phone Number
Will Parents be Helping in Other Areas of VBS? *
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Number *
Emergency Contact Number
Name of a Special Friend Your Child Might Like to be With
Name of a Special Friend Your Child Might Like to be With