VBS Registration

Child's Full Name

Age

Grade Going Into

TK/Kinder 1st 2nd 3rd 4th 5th Other

Parent's Name

Cell Phone

This address will receive a confirmation email

Address

Emergency Contact (Other than the name listed above)

Allergies or any other special circumstances we should be aware of:

Permission to take photographs and put on our website or social media?

Yes No

Suggested donation is $25 per child. Please enter your chosen amount below, or inquire with us about a scholarship for your child.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

We are thrilled to have your children, entering TK-5th grade, join us for our VBS August 10th - 12th, 9:00am-12:00pm at Plymouth Congregational Church. 1301 Oak St., Paso Robles. For more information, please contact: plymouthchurchpaso@gmail.com or go to our website: https://plymouthchurchpaso.com/

VBS Registration

Description

Please Fix the Following