Emmanuel is offering VBS from 8am-11:30am on June 3-7, 2019. This is for boys and girls age birth through Kindergarten. Please complete the form below to submit your registration. Full Name* First Last Primary Contact Phone Number*Email Address* 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 What is the best way to contact you?*Please SelectPhoneEmailTextAre you a member of Emmanuel Baptist Church?*Please SelectYesNoIn what area(s) are you willing to serve?* Any Area Needed Line Leader Crafts Registration Decorations (prior to VBS) Recreation Nursery T-Shirt Size*Please SelectASAMALAXL2X3X4XEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.