vbs

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

Parent/Guardian's Name: *

Last Grade Completed by 2022: *

Email: *

Check here to receive email updates

Medical Information:

Child's Birth Date/Age: *

Child's Name: *

Work Phone:

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

Address *

Home Phone/Cell: *

Emergency Contacts (Other than listed above)

VBS Registration Form

please submit one form per child