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

List any siblings attending

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

What Week(s) will you be attending VBS? (Check all that apply)

Will you be attending Music Camp?

What Week(s) do you plan to attend Music Camp? (Check all that apply)* *Music Camp runs 4 weeks; with the last week being a dress rehearsal week leading up to the concert.

How are you getting home from VBS? (Please explain below.)

My photograph can be taken and used in social media posts

I have more students to register