Mission: Deep Sea VBS

Event Date: June 16th-20th, 2025 (9:00am-12:00pm)

Event Address:
Keystone Heights Methodist Church
4004 SE SR 21, Keystone Heights, FL
Tel: (352) 473-3829

Contact: Shirin Smith – (386) 530-1891 or lameishirin@gmail.com

Registration Form:

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Child's Name *

(List All Attending VBS)

Grade They Just Completed *

(At the End of 24-25 School Year)

List Any Allergies (Each Child) *

(If none, write “None”)

Parent's Name *

Parent's Phone Number *

Parent's Email Address *

Parent's Mail / Physical Address *

Emergency Contact(s) *

Parent's Child) at

Pick-up Authorization *

Do you give Keystone Heights Methodist Church permission to photograph your child(ren) at VBS for use on digital and/or print communication? *YesNo

Register