VBS Registration 2025

2024 VBS Participant Registration

Childs First Name

Childs Last Name

Preferred Name for Name Tag

Name

Guardians First NameGuardians Last Name

Additional Street Address

Street Address

City

State

Zip Code

Email

example@example.com

Emergency Phone Number

(only Kindergarden, 1st 2nd ,3rd ,4th or 5th)

Last Grade Completed only Kindergarden 1st 2nd 3rd 4th or 5th

Birthday MMDDYYYY format please

Gender Female or Male

Allergies Medical andor Special Needs

Does the Child have Allergies Yes or No

Do we have permission to use your child's

photograph in church publications?

Do we have permission to use your childs photograph in church publications

Do we have permission to photograph your child