VBS Submission 2026
Parent/Guardian Name
*
First Name
Last Name
Child Information
*
Name
Age
Allergies, if any
Do You Wish To Register Additional Children?
*
Yes
No
Second Child Information
Name
Age
Allergies, if any
Third Child Information
Name
Age
Allergies, if any
Fourth Child Information
Name
Age
Allergies, if any
Physical Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Alt. Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I Am Willing To Be Contacted Via Text Messages
*
Yes
No
Does Your Child Need To Be Picked Up And Dropped Off By The Salvation Army?
*
Yes
No, I Am Able To Drop Them Off and Pick Them Up
I Give Permission For My Child(ren) To Be Transported In The Salvation Army Vehicles
*
Yes
No
Emergency Contact Name (Different From Parent/Guardian listed above)
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
If you prefer your child NOT to be photographed please confirm below.
No Pictures of my Child(ren)
By signing below, I acknowledge I have read the Assumption of Risk & Liability Waiver and the Acknowledgment of Camp Behavioral Policies & Photo Release and agree to their contents. I also hereby give my consent for the minors in my legal care to participate in The Salvation Army 2026 VBS program.
*
Submit
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