Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

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

Phone Number

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

We will have designated church volunteers taking pictures and/or videos of the kids in both large groups and in smaller groups or as individuals. Some of these photos and videos may be posted on our church's social media pages. By registering your child(ren), you acknowledge that you are aware of our intention to take and possibly publish these photos. Photography Release

I have more students to register