VBS 2024 | GUEST REGISTRATION

June 23-26 // 5:30p-7:30p | We can't wait to see you at VBS this year!

When: June 23-26 // 5:30p-7:30p
Where: Connect Church // 1103 E. L Street, Russellville, AR 72801
Ages: 4 Years Old - 4th Grades

PARENT INFORMATION

Parent's Name

*

Parent's Email

*

This address will receive a confirmation email

Phone

*

Emergency Contact Number

*

STUDENT INFORMATION

VBS is for kids & students 4 years old through 4th grade.

Student Name (1)

*

Age/Grade

*

Please select one option.

Pre-K | 4 Years Old Pre-K | 5 Years Old Kindergarten 1st 2nd 3rd 4th

Allergies or Special Needs

Student's Name (2)

Age/Grade

Please select one option.

PreK | 4 Years Old PreK | 5 Years OId Kindergarten 1st 2nd 3rd 4th

Allergies or Special Needs

Student Name (3)

Age/Grade

Please select one option.

PreK | 4 Years Old PreK | 5 Years Old Kindergarten 1st 2nd 3rd 4th

Allergies or Special Needs

Student Name (4)

Age/Grade

Please select one option.

PreK | 4 Years Old PreK | 5 Years Old Kindergarten 1st 2nd 3rd 4th

Allergies or Special Needs

Description

June 23-26 // 5:30p-7:30p

We can't wait to see you at VBS this year!

When: June 23-26 // 5:30p-7:30p
Where: Connect Church // 1103 E. L Street, Russellville, AR 72801
Ages: 4 Years Old - 4th Grades

Please Fix the Following

Close