VBS Student Registration Form 2026
Please fill out this form and click submit.
One form per family
VBS is for ages 3 (potty trained) - 10 years old!
How many children are you registering?
*
Please select one option.
1
2
3
4
5
6
Select Option
1
2
3
4
5
6
GUARDIAN Name (First & Last Name)
*
Phone (If there is an emergency, this number will be contacted first!.
*
For the Emergency contact info, please list as so:
Name, Relationship, Phone Number
Example:
Annie, Friend of family, 333-111-0942
Emergency Contact (if parent cannot be reached)
*
Student #1 Information
Student #1 (First & Last Name)
*
Date of birth
*
Student #2 Information
Student #2 (First & Last Name)
Date of birth
Student #3 Information
Student #3 (First & Last Name)
Date of birth
Medical Information
Allergies? (Please specify which child they pertain to/ if no allergies, simply put 'N/A')
*
Photo/Video Permission
*
Please select all that apply.
YES- my child(ren) may appear in church photos/videos.
NO- please do not include my child.
Liability Acknowledgement: I understand VBS staff will make reasonable efforts to provide safe care.
*
Please select all that apply.
I understand.
Submit
Description
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