VBS Registration
VBS, Game ON, children, summer, fun, sports
JULY 16-20
9:00 am - 12:00 pm

Child's Name

Please Check One

Parent/ Guardian Name


Mailing Address (if different)

Home Phone

Cell Phone

Work Phone

Email Address


* Limited space for 3 year olds through entering kindergarteners. So sign up early, first come first serve basis for these registration spots.


Grade Entering for 2018/2019

Medical Information

Medical or other information we need to know. (Please include any food allergies.)

Emergency Contacts (List 2 or more)

Name and Phone Number

Dismissal Information

Who may pick up your child at the end of each VBS day? Please list all possibilities! (ADULTS MUST SHOW PHOTO ID MATCHING NAMES LISTED )

Do you attend Sunday School?

If so where?

How did you hear about our VBS? (please check one)

May we have permission to photograph your child?