2021 ASBC Vacation Bible School Attendee Registration
SPACE IS LIMITED! Register for VBS 2021 TODAY! Deadline April 30th. We will be accepting one registration per child.
Email address *
Child's Last name *
Child's First Name *
Parent/Guardian (Last Name) *
Parent/Guardian (First Name) *
Parent/Guardian PHONE NUMBER *
Parent's Mailing Address: (See example below) *
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VBS Class Registration (classroom assignments will be based on the child's grade that was recently completed in the 2020-2021 school year)
Pre-K (2 years old as of June 2021)
Pre-K ( 3 years old as of June 2021)
Pre-K (4 years old as of June 2021)
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth-Eighth Grade
Youth Leadership Program (YLP) Ninth-Twelfth Grade
Please provide an email address for any child in Sixth- Eighth Grade or the Youth Leadership Program (YLP)
Does your child have any special education needs?
Clear selection
If yes, please describe.
VBS Online requires that each child has access to their grade appropriate ZOOM classroom. Does each child you are registering have the ability to access their own individual ZOOM classroom for their respective grade? (By phone; laptop; tablet, etc) *
*Do you consent to your child participating in ZOOM Interactive Learning by authorizing the ASBC Standard Photo and Video Release Form for Minor Children as stated in the form below? * *
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Parent/Guardians-Please type your full name below as an e-signature confirmation of your consent. *
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