VBS 2023 Registration

Please submit a registration form for each child who will be joining us!

The information below is used so we can prepare and make sure to have the appropriate help for each age group as well as provide for the complete safety of the children.

(All below fields are required to submit your registration.)

Child's Name Child's gender girlboy

Child's Age 12345678910111213 Date of Birth

Last school grade completed preschoolkindergarten1st2nd3rd4th5th

Name of Parents

Street Address City, State, Zip

Parent/caregiver’s cell phone Parents Email

Home Email

Home Church

In case of emergency contact:
Emergency phone:
Relationship to child:

* This year, anyone who invites a kid to VBS will be entered into a drawing for a prize at the end of VBS!
So if someone invited your child please enter their name in below!
Invited by :