Journey to Jesus VBS Registration 2025
Please fill out this form and click submit.
Free to the community. One registration is to be filled out per child. Located at Revival Church,
4826 Bartelt Rd, Holiday, FL 34690
Child's Name
*
Child's Gender
*
Please select one option.
Male
Female
Child's DOB (MM/DD/YYYY)
*
Child's Grade for the 2025-2026 School Year
*
Please select one option.
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Other
Any Allergies? (If none write NKA)
*
Parent's Name
*
Parent's Email
*
This address will receive a confirmation email
Parent's Phone Number
*
Submit
Description
Please fill out this form and click submit.
×
Please Fix the Following
