SVC 2026 VBS Registration Form

2026 Seattle Vision Church VBS Registration

Please complete all required fields to register your child for VBS.
Child's Name*

First NameLast Name
Parent/ Guardian Full Name*

First NameLast Name
Parent/ Guardian Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Contact Information
Work Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent's Email Address*
example@example.com
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Child Information
Child's Age*
Birth Date*

MonthDayYear
Last Grade Completed in School*
Medical or other information we need to know including any food allergies*
Dismissal information: Who may pick up your child at the end of each VBS day?*
Does your child attend church? If so, where?*
If your child is visiting our church, who is he a guest of?*
YesNo
YesNo
cashZelle (856-313-1116)Check to: Seattle Vision Church (child's name on memo line)
Should be Empty:

2026 Seattle Vision Church VBS Registration