VBS Camper Registration 2026

Parent Name*

First NameLast Name

Parent Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Parent Email*

example@example.com

Zip Code*

Camper Name*

First NameLast Name

Grade*

Please select the grade your camper will enter this Fall.

MaleFemale

Date of Birth*

Date

Child XSChild SChild MChild L

Allergies / Dietary Restrictions*

Medical Concerns*

Emergency Contact*

First NameLast Name

Emergency Contact Relationship*

Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Alternative Pickup Name

First NameLast Name

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

YesNo

Questions / Comments

Registration Fee: $80 per camper.

The registration fee covers the cost of a VBS t-shirt, snacks, and fun hands-on activities.

If you need financial assistance, please contact Angela Hazzi for more information at ahazzi@seasirvine.org.

To complete your registration, please submit this form and then pay here.

Volunteer Opportunities: If you are interested in helping out as a volunteer, please complete the form here.

Donations and Scholarship: Donations are greatly appreciated! Donations go towards (1) sponsoring a camper and (2) monetary donations, supplies, and snacks. You can make a donation here.

VBS Camper Registration

Parent Information

Camper Information

Extended Hours

Other Information