*Student(s) Name(s)
Birthdates of each child mm/dd/yyyy
Last Grade Completed
*Parent or Guardian's Name
*Address
*Phone
Cell Phone Number
Email Adress:
Contact Numbers during VBS for emergencies
*Allergies or Special Needs
There will be a dinner and a closing program on Thursday evening at 6:00 pm. The whole family is encouraged to attend. Please let us know if you can be there.
Number of people attending the program