VBS REGISTRATION 2026
Keepers of the Kingdom
Parent 1 Name
*
First Name
Last Name
Parent 1 Email
*
example@example.com
Parent 1 Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent 2 Name
First Name
Last Name
Parent 2 Email
example@example.com
Parent 2 Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Child's Primary Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Child's Name
*
First Name
Last Name
Child's Date of Birth
*
-
Month
-
Day
Year
Date
Grade complete as of May 2026
Please Select
Not in school yet
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
What school does your child attend?
Please list your child's allergies
Are there any limitations or disabilities we need to know while your child is in our care? If so, please share those so we can be prepared to serve your family well.
What church do you regularly attend?
Submit
Should be Empty: