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

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Do you give permission for your child to be in Facebook pictures/video?

Who can pick up your child from VBS? Please let us know if someone other than the person dropping off will be picking up your child.

I have more students to register