VBS Virtual Registration VBS Registration is now closed for 2020. Thank you for your interest! Join us June 15th-19th (Monday - Friday) as St. James goes virtual for a fun & faith-filled week of Vacation Bible School! The theme is Rocky Railway - Jesus' Power Pulls us Through. We hope you and your child(ren) can experience God's Word together through VBS at home! Registration is open to all children pk-5, though all are welcome to participate. Please indicate on the registration form how you will participate 1. Participation only-$0.00 All are welcome to participate and join in the fun of VBS for free! Each morning you will be sent an email with links to the daily activities, Bible story, and more! 2. Participation with At Home VBS Kit- $15.00 We know how much the children who attend VBS love the music and swag. Our VBS “at home kit” allows you to bring a bit of VBS home as you enjoy the daily activities, songs, and stories. The kit includes: Rocky Railway CD, Tracking with Jesus Bible Book, Banduras for all registered children in your family (up to four), and Watch for God wristbands for all registered children in your family (up to four). Please fill out this form to register your child(ren) for VBS. We must receive all “At Home Kit” registrations by 5-25-2020! Your registration will not be complete until payment has been received. You can pay online within the registration form. Registration confirmations will be sent to you via the email address you provide. Thank you! Family InformationParent/Guardian Name* First Last Family Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Address* Email will be our primary mode of communicationEmail Address* Please verify your primary emailHome Phone*Cell Phone*Additional Cell PhoneWhat is the best number to reach you at?*Cell PhoneHome PhoneAdditional Cell PhoneHow many children are you registering?*1234Child 1 InformationName (child 1)* First Last Gender (child 1)*MaleFemaleGrade Entering (child 1)*4 Year Old (by 9/1/20)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Gradeschool grade entering fall of 2020Date of Birth (child 1)* MM DD YYYY Child 2 InformationName (child 2)* First Last Gender (child 2)*MaleFemaleGrade Entering (child 2)*4 Year Old (by 9/1/20)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Gradeschool grade entering Fall of 2020Date of Birth (child 2)* MM DD YYYY Child 3 InformationName (child 3)* First Last Gender (child 3)*MaleFemaleGrade Entering (child 3)*4 Year Old (by 9/1/20)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Gradeschool grade entering Fall of 2020Date of Birth (child 3)* MM DD YYYY Child 4 informationName (child 4)* First Last Gender (child 4)*MaleFemaleGrade Entering (child 4)*4 Year Old (by 9/1/20)Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Gradeschool grade entering Fall of 2020Date of Birth (child 4)* MM DD YYYY RegistrationRegistration Fee*Please SelectParticipation only - $0.00Participation with VBS Kit - $15.00 All VBS Participants will have access to the daily songs and activities. VBS Participation Kit includes: -Banduras for all participants (up to four children) -Watch for God Bands for all participants (up to four children) -CD with VBS music to play all summer long -Tracking with Jesus Bible Book Total $0.00 Credit Card American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name Signature*THIS DIGITAL SIGNATURE SIGNIFIES YOUR ACCEPTANCE OF REGISTRATION FEES (15$ FOR THE VBS PARTICIPATION KIT) This iframe contains the logic required to handle Ajax powered Gravity Forms.