• Grace chapel VBS Registration

    Grace chapel VBS Registration

  • Date
     - -

  • Student Information

  • Birth Date*
     - -
  • Have you previously attended VBS?

  • Parent/Guardian Information

  • Format: (000) 000-0000.

  • Medical Information

  • Does your child carry an epi-pen? (please note: if yes, it is the responsibility of the child's guardian to ensure the child has the epi-pen at every drop off and pick up)*

  • By submitting this form, I ackowledge I have read and understand the above information. 

  • Signature (Typing Your Name will be considered as Your Signature)

  • Should be Empty: