VBS Registration Form
Please fill out this form to complete your child's registration
Child's Name
First Name
Last Name
Child's Upcoming Grade
Parent/Guardian Name
First Name
Last Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Please list any allergies or medical conditions
I consent to my child's photo to be taken for Church and VBS Media
Yes
No
I authorize the VBS staff to seek emergency medical treatment for my child if necessary.
Yes
No
Child's Shirt Size
Youth XS
Youth SM
Youth M
Youth L
Youth XL
Other
Submit
Should be Empty: