Keys Vineyard Church - VBS Sign Up

Children Ages 3-11, June 11-13th 2024 9:00am - Noon

Child's First Name

Child's Last Name

Child's Age

Child's Birthdate

Grade Child Entering

Parent/Guardian First Name

Parent/GuardianLast Name

Email

Phone Number 1

Phone Number 2

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Allergies or Special Needs