VBS Registration 2023

VBS Registration 2023
Calling all children currently in Kindergarten—grade 5! Join us for VBS June 12-15 from 6-8:15 p.m. as we learn that each of us is on a journey of faith! When we follow Jesus, He will MOVE us to DO what He says, BELIEVE who He is, LOVE who He loves, and GO where He leads!

You can register more than one child using the form below if all the children live at the same address and have the same parent/guardian. If the children live at different address and/or have a different parent/guardian, please complete a separate form for each child.
- PLEASE NOTE: Children entering Kindergarten in the fall of 2023 will only attend Thursday Evening, June 15, and must be accompanied by at least one parent/guardian.
How many children are you registering?*
Child's Name*

First NameLast Name
Child's Birthday*

MonthDayYear
Date
Child's Age*
Child's Gender*

MaleFemale
Child's Grade Completed*

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Entering kindergarten in the fall of 2023
Name (Child #2)*

First NameLast Name
Birthday (Child #2) *

MonthDayYear
Date
Age (Child #2 )*
Gender (Child #2 )*

MaleFemale
Grade Completed (Child #2)*

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Entering kindergarten in the fall of 2023
Name (Child #3)*

First NameLast Name
Birthday (#3)*

MonthDayYear
Date
Age (Child #3)*
Gender (Child #3)*

MaleFemale
Completed Grade (Child #3)*

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Entering kindergarten in the fall of 2023
Name (Child #4)*

First NameLast Name
Birthday (Child #4)*

MonthDayYear
Date
Age (Child #4)*
Gender (Child #4)*

MaleFemale
Grade Completed (Child #4)*

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Entering kindergarten in the fall of 2023
Name (Child #5)*

First NameLast Name
Birthday (Child #5)*

MonthDayYear
Date
Age (Child #5)*
Gender (Child #5)*

MaleFemale
Grade Completed (Child #5)*

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Entering kindergarten in the fall of 2023
Name (Child #6)*

First NameLast Name
Birthday (Child #6)*

MonthDayYear
Date
Age (Child #6)*
Gender (Child #6)*

MaleFemale
Grade Completed (Child #6)*

KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Entering kindergarten in the fall of 2023
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Parent/Guardian*

First NameLast Name
Mobile Number*
Please enter a valid phone number.
Secondary Phone Number (optional)
Please enter a valid phone number.
Email (optional)
example@example.com
Emergency Contact Person*

First NameLast Name
Phone Number During VBS for Emergency Contact*
Please enter a valid phone number.
Allergies/Health Issues/Special Needs (Please note which child/children if you are registering more than one child)
What Church Do You Attend? (Leave blank if none)
Are you attending VBS with a friend or relative? If yes, please list their names and ages.
Is it okay to display/print photos of your child/children during participation in Otterbein Church activities?*

YesNo
Would you like to purchase this year's VBS t-shirt?

Should be Empty:

VBS Registration 2023

Credit Card