Register for VBS

Family 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

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Photo and Video Consent I give permission for my child to be photographed and/or recorded on video during this event. I understand that these photos and videos may be used for promotional or informational purposes, including but not limited to displays, printed materials, social media, and organizational websites.

I have more students to register