VBS Child Registration
July 7-10 5:30-8:00PM
Parent/Guardian Name
First Name
Last Name
E-mail
example@example.com
Mobile Number
Please note: to register for PreK or Nursery aged children, you must be a volunteer. Registration for that age child is on the Volunteer Sign up form.
How many children are you registering?
Please Select
1
2
3
4
5
6
7
1st Child's Name
First Name
Last Name
Grade entering in the Fall
Please Select
Nursery (for volunteers only)
PreK (for volunteers only)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Male
Female
Do you give permission for your child's photo to be taken?
Yes
No
Does your child have a friend they want to be with? Please list first choice of a crew mate:
First Name
Last Name
Second choice of a crew mate
First Name
Last Name
Please include any special notes about your child, including behavior or dietary needs:
2nd Child's Name
First Name
Last Name
Grade entering in the Fall
Please Select
Nursery (for volunteers only)
PreK (for volunteers only)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Male
Female
Do you give permission for your child's photo to be taken?
Yes
No
Does your child have a friend they want to be with? Please list first choice of a crew mate:
First Name
Last Name
Second choice of a crew mate
First Name
Last Name
Please include any special notes about your child, including behavior or dietary needs:
3rd Child's Name
First Name
Last Name
Grade entering in the Fall
Please Select
Nursery (for volunteers only)
PreK (for volunteers only)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Male
Female
Do you give permission for your child's photo to be taken?
Yes
No
Does your child have a friend they want to be with? Please list first choice of a crew mate:
First Name
Last Name
Second choice of a crew mate
First Name
Last Name
Please include any special notes about your child, including behavior or dietary needs:
4th Child's Name
First Name
Last Name
Grade entering in the Fall
Please Select
Nursery (for volunteers only)
PreK (for volunteers only)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Male
Female
Do you give permission for your child's photo to be taken?
Yes
No
Does your child have a friend they want to be with? Please list first choice of a crew mate:
First Name
Last Name
Second choice of a crew mate
First Name
Last Name
Please include any special notes about your child, including behavior or dietary needs:
5th Child's Name
First Name
Last Name
Grade entering in the Fall
Please Select
Nursery (for volunteers only)
PreK (for volunteers only)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Male
Female
Do you give permission for your child's photo to be taken?
Yes
No
Does your child have a friend they want to be with? Please list first choice of a crew mate:
First Name
Last Name
Second choice of a crew mate
First Name
Last Name
Please include any special notes about your child, including behavior or dietary needs:
6th Child's Name
First Name
Last Name
Grade entering in the Fall
Please Select
Nursery (for volunteers only)
PreK (for volunteers only)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Male
Female
Do you give permission for your child's photo to be taken?
Yes
No
Please include any special notes about your child, including behavior or dietary needs:
7th Child's Name
First Name
Last Name
Grade entering in the Fall
Please Select
Nursery (for volunteers only)
PreK (for volunteers only)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Gender
Male
Female
Do you give permission for your child's photo to be taken?
Yes
No
Please include any special notes about your child, including behavior or dietary needs:
Visit us on Facebook (Sully VBS) for more details about the week!
Submit
Should be Empty: