Smith Grove's Virtual VBS Registration Form
Register your children (ages 3-entering 6th grade) for our entirely online VBS. Select the number of children and fill out the requested information so we can get you the necessary materials to have VBS in your homes! Please register by July 20, 2020.
Child's Information
How many children do you need to register? (If more than 4, please submit a second form).
*
1
2
3
4
1st child's Name
*
First Name
Last Name
1st child's Age
*
1st child's Birthday
*
-
Month
-
Day
Year
Date
Grade 1st child is entering in Fall 2021
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
2nd child's Name
*
First Name
Last Name
2nd child's Age
*
2nd child's Birthday
*
-
Month
-
Day
Year
Date
Grade 2nd child is entering in Fall 2021
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
3rd child's Name
*
First Name
Last Name
3rd child's Age
*
3rd child's Birthday
*
-
Month
-
Day
Year
Date
Grade 3rd child is entering in Fall 2021
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
4th child's Name
*
First Name
Last Name
4th child's Age
*
4th child's Birthday
*
-
Month
-
Day
Year
Date
Grade 4th child is entering in Fall 2021
*
Kindergarten
1st
2nd
3rd
4th
5th
6th
Parental Contact Information
Name of best Parent/Guardian contact:
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
May we text this number?
*
Yes
No
Email
*
example@example.com
Activities
Later in July, we will provide everything you need for Virtual VBS, including items for activities. This year's VBS activities require a few common household items. We are happy to provide them if you need them, but if you have extras around the house and can use your own, we encourage you to use those.
Place a check mark by items you need Smith Grove to provide (numbers are per household, not per child):
*
One (1) long tube sock
Four (4) 16-20oz water/soda bottle
One (1) rubber ball (a tennis ball would work well)
Scotch tape
Bible
We don't need Smith Grove to provide any of these items
Please verify that you are human
*
Submit
Should be Empty: