2025 VBS Registration

2025 VBS Registration Form

Date: July 21-25 2025
Time: 6:30pm-8:45pm

Graceham Moravian Church
8231A Rocky Ridge Rd
Thurmont MD 21788

Child's Name: *

Street Address: *

City: *

State: *

Zip: *

Parent Email: *

Home Phone #: *

Last School Grade Completed: *

Age: *

Date of Birth: *

Mother: *

Father: *

In case of emergency, contact:

Name: *

Phone #: *

Allergies or Other Medical Conditions:

Home Church (if applicable):

Name of church at which you are already a member

Yes, I give permission for this child's picture to be used during the VBS closing program.

I would like to help with VBS

Helper Name:

Helper Phone #: