VBS 2020 Registration

REGISTER HERE

****MUST BE FEVER FREE FOR 24 HOURS TO ATTEND!!*****
TEMPERATURES WILL BE CHECKED & HANDS SANITIZED UPON ARRIVAL

* Indicates required field

Parent/Guardian Name *

First

Last

Parent/Guardian Phone *

Street Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you attend church? If so, where? *

May we have permission to photograph your child? *

Child's Name *

First

Last

Child's DOB *

Last Grade Completed *

Does Child have food allergies? If yes, please list: *

Any medical or other info we need to know? *

Primary Pickup Name & Phone *

Alternate 1 Pickup Name & Phone *

Alternate 2 Pickup Name & Phone *

NOTE-
If you have more than one child attending, we ask that you please complete & submit form in its entirety for each child.

Submit