We are excited to have your child join us for VBS this July!  
Please complete this form to register 1 child today!
If you are registering more than one child, please fill out one of the multiple children forms.
I am registering 1 child for VBS *

How did you hear about Vacation Bible School *

Parent Information

Parent First Name *

Parent Last Name *

Are you a VBS worker this year? *

What is the best phone number to reach you at? *

Please use format 603-595-0955.
What is a secondary number we can reach you at? *

This will only be used in case of emergency.
Who should we contact in case of an emergency? *

Please include first and last name and phone number
What is your street name and house number *

517 Boston Post Road (and apt/unit number if applicable).
What city/town do you live in? *

What state do you live in? *

What is your zip code? *

Are there any alternate drivers to pick up your child(ren)? *

Please list their first and last name and a contact phone number.  Alternate drivers will need to present an ID before picking up children.
If you selected "other" as your church, what church do you attend?

Please skip if you selected a church or "none" on the previous question.
Child Information

Child's First Name *

Child's Last Name *

{{answer_40491313}}'s birthday is: *

{{answer_40491313}} is: *

Has {{answer_40491313}} attended VBS before?

Does {{answer_40491313}} have any allergies? *

Please select allergy type(s).  The next question will provide a place to describe allergies.

If  {{answer_40491313}} has any allergies, please list them below.  If not, please skip this question.

If your child has any food allergies/sensitivities, please plan to bring a snack for him/her.  We will have a snack list for the week available at registration each morning.
Does {{answer_40491313}} have any special needs we should be aware of? *

There will be a space on the next question to provide more information.

Please provide any specific details regarding the special need and/or assistance {{answer_40491313}} may need.

If there are none, please skip this question.
Is there anything else we should know about {{answer_40491313}}?

Is your child coming with part of the Little Arrows childcare program? *

Thank you so much for registering your child for VBS!  You should receive a confirmation email shortly.

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