VBS Registration For Preschool Age Children

VBS Pre-Registration

This is registration for pre-school age children,
if you need to register your school age
child, you may do so here

Children's Names

First Child's Name:

Birthdate:

Second Child's Name:

Birthdate:

Third Child's Name:

Birthdate:

Parental Information

Parent / Guardian:

Address:

City:

Zip Code:

Home Phone:

Work Phone:

Cell Phone:

E-Mail Address:

Emergency Contact:

Emergency Phone:

Other Information

Medical:

Medical or other information we need to know about your child. Please include any food allergies or special instructions.

Dismissal Information:

Who may pick up your child at the end of each VBS day.

Do You Need Transportation? We Will Contact You:

Yes

Do You Attend Church Anywhere?:

Yes

If Yes, Where do you attend?:

May we have permission to photograph your child?:

Yes

May we have permission to use your child's photograph in church publications for the purpose of promotion?:

Yes

Order T-Shirts

If you would like to order t-shirts for your children, you may select the quantity and sizes.

Please select the sizes for the children's sized shirts.

First Shirt:

Second Shirt:

Third Shirt:

Please select the sizes for the adult's sized shirts.

First Shirt:

Second Shirt:

Third Shirt: