Virtual Vacation Bible SchoolJune 23, 2022 10:00am 2022 VBS Registration Form First Name* Last Name* Student Age* Gender* male female Grade Level Assignment Fall 2020* Contact Information Address* , AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Email* Phone*( ) - Parent/Guardian #1* Parent/Guardian #2 Will the student have access to a computer or tablet?* Yes No Will the student have access to the Internet?* Yes No Will the student have someone to assist with technology?* Yes No Would you like to participate in our lunch program?* Yes No Please leave this field blank. Add to Calendar
