Register for VBS

Authorized Pickup Please add all names(other than yourself), relationship to the student, and contact phone number of anyone authorized to pick up your students.

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

Potty Training Requirement

All children attending Vacation Bible School must be fully potty-trained

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

T-Shirt Size ------ Toddler Youth Small Youth Medium Youth Large

**Size requested is not guaranteed and is based on availability**

I have more students to register