Picayune VBS 2025

Name:

Address:

Phone:

Email:

This address will receive a confirmation email

Age:

Last Grade Completed:

In case of emergency, contact:

Phone:

Mother:

Father:

Other:

Allergies or other medical conditions:

Home church:

Name of one friend your child might like to be with during VBS:

Description

June 23rd - 27th

Please fill out this form and click submit.