Register for VBS

Family Information

Address

Primary Phone

Phone Number

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

Please share any questions or concerns:

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Who has permission to pick up this child from VBS?

I acknowledge that my child may appear in photos/videos taken during VBS. Note: If you have any concerns regarding this photo release, please speak with our VBS Director, Pamela Hales.

I have more students to register