Register for VBS

Home Information

Address

Primary Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Emergency Contact should be Who we need to call in case of Emergency during VBS Hours

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

May photos be taken and shared of this child? (We understand there are sometimes legal &/or security reasons why photos may not be used on Facebook or public websites, we want to keep your child safe too) Photo Release

Details

Age group should be what grade they will be entering this fall. Also Please let us know if there's anything else we need to know about your child.

Does your child need picked up/brought home in the Church Van? Ride Required?

Details

I have more students to register