2026 Palm Schwenkfelder VBS Registration

Child's Name

This address will receive a confirmation email

Phone

Address

Age/Grade Completed

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone

Emergency Contact

Food Allergies

Yes No

List allergies

Medical Concerns

Yes No

List medical concerns

Who may pick up your child (other than parent)?

Permission to use image of your child?

Yes No

VBS Info: Be sure to write down the dates Monday, June 22 - Friday, June 26 from 9:00 AM - 11:30 AM on your calendar. Our address is 833 Gravel Pike, Palm PA 18070. We look forward to seeing your child at VBS!

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2026 Palm Schwenkfelder VBS Registration

Description

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