VBS Child Registration
Use the form below to register. You will only need to submit one registration per family, unless you have more than five children to register. If you have any questions, please contact ashleytmilliken@gmail.com.
Parent's Name
*
Parent's Phone Number
*
Child's Information
*
Name
Grade
Name
Grade
Name
Grade
Name
Grade
Name
Grade
Do any of your children have allergies or medical concerns that we need to be aware of?
Would you allow Family Life Church to share photographs of your child on social media?
Yes
No
Submit
Should be Empty: