VBS Registration Form

Children and Youth VBS Registration Form

Parent's Name

Child/Youth Name (first and last)

Child's Birthday

Child's Age

T-Shirt Size

Youth SM Youth MED Youth LG Adult SM Adult MED Adult LG

This address will receive a confirmation email

Phone

Address

Payment/per person (includes t-shirt) $15

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

7/19-7/23

2391 St. Mark's Way
Sacramento, CA 95864
www.stmarksumc.com

Please fill out this form and click submit.