Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Fifth Grader Tee Shirt Size ------ Youth L Adult S Adult M Other (will try to accommodate) Select a Tee shirt size ONLY if your student is a fifth grader this year. Only students who are in their last year as VBS participants will receive a shirt.

Music Preference Physical CD Download I have Spotify/Google/Apple music and do not need Not interested in music this year

I have more students to register