Waterman VBS 2026 Registration

Waterman VBS 2026 Registration

VBS welcomes children age 4 by June 1 through just completed 5th grade.
Parent/Guardian Email
example@example.com
How many children are you registering?
Child Information
First Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Medical or other information we may need to know about the child (including food allergies).
Second Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Medical or other information we may need to know about the child (including food allergies).
Third Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Medical or other information we may need to know about the child (including food allergies).
Fourth Child
Child's Name

First NameLast Name
Child's Birth Date

MonthDayYear
Last Grade Completed
Child Release Information
Medical or other information we may need to know about the child (including food allergies).
Parent/Legal Guardian Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Names of Persons to which the child (children) may be released after VBS (Please provide at least two)

First NameLast Name
Full Name

First NameLast Name
Is your child (children) allowed to walk, bike, etc to/from VBS? Yes, indicates understanding no supervision provided by Waterman VBS volunteers.
Emergency Contact 1 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 1 Phone Number
Format: (000) 000-0000.
Emergency Contact 2 (other than parent/guardian listed above)

First NameLast Name
Emergency Contact 2 Phone Number
Format: (000) 000-0000.
By clicking the box, I hereby Give Permission for photographs and/or video in which my child appears in to be used by the church in printed and/or electronic media, including the church's website.
By clicking the box, I hereby Authorize VBS Staff to seek emergency medical treatment for my child if necessary.
By clicking the box, I hereby Agree to release and hold harmless the VBS program, staff and volunteers from any claims or liability arising from my child's participation.
Should be Empty:

Waterman VBS 2026 Registration

Child Information

First Child

Second Child

Third Child

Fourth Child

Child Release Information