Virtual VBS Registration Form

VBS

VBS 2026 Illumination Station
Registration Date

MonthDayYear
Date
Student Name

First NameLast Name
Age
Date of Birth

MonthDayYear
Date
Grade just finished
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Parents Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
What size T-shirt does your child wear?
List all Allergies
How did you hear about Westview's VBS?
Home Church Name
Authorized person who can pickup the child on dismissal

First NameLast Name
Would it be okay if we take photos and videos of the participant during the activity which will be posted in our social media account?
Should be Empty:

VBS