VBS REGISTRATION
2026
Child's Full Name
*
First Name
Last Name
Child's Age
*
Child's Birth Date
*
-
Month
-
Day
Year
Date
Grade Completed June 2026
*
Please Select
Staff Only Nursery
Age 4
Going to Kindergarten
Completed Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Does your child attend YMCA daycare or day camp at First Baptist Church?
Yes
No
Address
*
Street Address
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Medical/Special Needs-if none, type NO
*
Parent/Guardian
*
Emergency Contact & Phone Number
*
Who will pick up at dismissal?
*
Do we have your permission to photograph your child and use photos in a presentation to the church or in social media?
*
YES
NO
Submit
Email
example@example.com
Should be Empty: