VBS 2026 Registration Form

Name

Parent/Guardian Name

Address

Home Phone

Mobile Phone

This address will receive a confirmation email

Birth date

Last grade completed in school

Medical or other information we need to know. (Please list any food allergies)

Emergency Contacts (other than listed above) Names and phone numbers

Dismissal Information: Who may pick up your child at the end of each VBS day?

Does your child attend church? If so, where?

If your child is visiting our church, who is he/she a guest of?

May we have permission to photograph your child?

Description

Please fill out this form and click submit.