VBS Registration

VBS Pre-Registration Form

Nellis Baptist Church
August 4-8, 2025
5:30 p.m. - 8:00 p.m.

Parent/Guardian First Name

Last Name

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Text Input

First Name

Last Name

Birthdate

Gender

Grade

Allergies

Text Input

First Name

Last Name

Birthdate

Gender

Grade

Allergies

Additional Children's Name, Date of Birth(month/day/year), Child's Grade(last year)

Anything else you'd like to share?

4300 N Las Vegas Blvd, Las Vegas, NV 89115
Phone: (702) 644-1055 Fax: (702) 644-2137

Text Input

First Name

Last Name

Birthdate

Gender

Grade

Allergies

Text Input

First Name

Last Name

Birthdate

Gender

Grade

Allergies

Additional Children's Name, Date of Birth(month/day/year), Child's Grade(last year)

Anything else you'd like to share?

4300 N Las Vegas Blvd, Las Vegas, NV 89115
Phone: (702) 644-1055 Fax: (702) 644-2137

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VBS Pre-Registration Form

Nellis Baptist ChurchAugust 4-8, 20255:30 p.m. - 8:00 p.m.

4300 N Las Vegas Blvd, Las Vegas, NV 89115Phone: (702) 644-1055 Fax: (702) 644-2137

4300 N Las Vegas Blvd, Las Vegas, NV 89115Phone: (702) 644-1055 Fax: (702) 644-2137

Nellis Baptist Church
August 4-8, 2025
5:30 p.m. - 8:00 p.m.

4300 N Las Vegas Blvd, Las Vegas, NV 89115
Phone: (702) 644-1055 Fax: (702) 644-2137

4300 N Las Vegas Blvd, Las Vegas, NV 89115
Phone: (702) 644-1055 Fax: (702) 644-2137