VBS Online Registration
One registration form must be submitted for each child that will be attending Vacation Bible School.
Email address *
Parent/Guardian's Name (First) *
Your answer
Parent/Guardian's Name (Last) *
Your answer
Parent/Guardian's Cell Phone *
Your answer
Parent/Guardian Email *
Your answer
Name of Child (First) *
Your answer
Name of Child (Last) *
Your answer
Date of Birth (Child) *
Your answer
The minimum age requirement for VBS is 5 years old. If this child is under the age of 5, will you be present for the duration of the program to assist your child?
Food Allergies/Restrictions
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone *
Your answer
Please list any special needs of the above listed child.
Your answer
Waiver/Release 1: *
Required
Waiver/Release 2:
Certification *
Required
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