Language
English (US)
Spanish (Latin America)
VBS2023 - Child Registration
Parent Information
Parent
*
First Name
Last Name
Second Parent or Guardian allowed to pick up the kid(s)
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Emergency Phone Number
*
Please enter a valid phone number.
Back
Next
Child Information
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
T-Shirt Size
Please Select
Small
Medium
Large
XL
Food Allergies
*
Status
*
Church Member
Visitor
Back
Next
Do you have more children to register?
*
Yes
No
Back
Next
Second Child Information
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
T-Shirt Size
Please Select
Small
Medium
Large
XL
Status
*
Church Member
Visitor
Food Allergies
*
Back
Next
Do you have more children to register?
*
Yes
No
Back
Next
Third Child Information
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
T-Shirt Size
Please Select
Small
Medium
Large
XL
Food Allergies
*
Status
*
Church Member
Visitor
Back
Next
Do you have more children to register?
*
Yes
No
Back
Next
Fourth Child Information
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
Grade Level
*
Please Select
Pre-K
K
1
2
3
4
5
6
7
T-Shirt Size
Please Select
Small
Medium
Large
XL
Food Allergies
*
Status
*
Church Member
Visitor
Back
Next
Thank you!
Please submit the registration by using the button below.
Submit
Should be Empty: