2025 Community VBS Registration

Community VBS - True North!

Registration for Community VBS is now open! Rising Pre-K - Rising 6th graders are invited to join us from July 9th - 11th, 5:30-8:00 p.m. each evening as we backpack through the wilderness and discover more about trusting Jesus, our TRUE NORTH, in a wild world! Join St. Giles, Christ Pres., and Eternity Churches as we gather at St. Giles each night for age-appropriate Bible teaching, crafts, games, fellowship, and more! Dinner for the whole family will be served at 5:30 each evening. Questions? Contact Heather Agnello at (804) 282-9763.
How many children would you like to register?*
Child #1 Name

First NameLast Name
Child #1 Birthday

MonthDayYear
Birthday
Child #1 Gender
Child #1 Grade Completed
Child #2 Name

First NameLast Name
Child #2 Birthday

MonthDayYear
Birthday
Child #2 Gender
Child #2 Grade Completed
Child #3 Name

First NameLast Name
Child #3 Birthday

MonthDayYear
Birthday
Child #3 Gender
Child #3 Grade Completed
Child #4 Name

First NameLast Name
Child #4 Birthday

MonthDayYear
Birthday
Child #4 Gender
Child #4 Grade Completed
Child #5 Name

First NameLast Name
Child #5 Birthday

MonthDayYear
Birthday
Child #5 Gender
Child #5 Grade Completed
Child #6 Name

First NameLast Name
Child #6 Birthday

MonthDayYear
Birthday
Child #6 Gender
Child #6 Grade Completed

This is a fill in the blanks field. Please add appropriate blank fields and text.
Parent/ Guardian 1*

First NameLast Name
Primary Phone Number*

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
Email*

Confirmation Emailexample@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Enter contact information for second parent or guardian?*

YesNo
Parent/ Guardian 2

First NameLast Name
Primary Phone Number

Area CodePhone Number
Secondary Phone Number

Area CodePhone Number
E-mail

Confirmation Email

Emergency Contact*

First NameLast Name
Relationship to Child*
Phone Number*

Area CodePhone Number
Who (adult) can pick up my child?*
Please list any food allergies your child/children may have: List N/A if none*
For example: John Doe- peanut allergy, Jane Doe- seafood
Please list any medical concerns your child/children may have: List N/A if none*
For example: John Doe- diabetes, Jane Doe- extreme reaction to wasp stings
Preferred Hospital*
Doctor*
Doctor's Phone Number*

Area CodePhone Number
Do you give permission for photos of your children to be used for publication?*

YesNo
What church do you attend?
Should be Empty:

Community VBS - True North!