2023 VBS Registration
Child's name:*
Parent/Guardian name:*
Email address:*
Phone (indicated home or cell):*
Child's date of birth and age:*
Grade in school (2022-2023 school year):*
Home church:
Allergies/other medical information:*
Emergency contact (name and phone):*
Name(s) of person(s) who may pick up this child from VBS:*
Permission to photograph your child and share on print or social media?*