2022 VBS Registration

Parents' Info

Parents Name(s)

First Name

Last Name

Parents' Email

Parent's Phone Number

(###)

###

####

Parents' Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Students' Info

(up to 5 students per registration form)

VBS Student #1

First Name

Last Name

VBS Student #1's Age/Grade-completed

use their current age or the grade that they just completed

VBS Student #2

(optional - up to 5 students per registration)

First Name

Last Name

VBS Student #2's Age/Grade-completed

use their current age or the grade that they just completed

VBS Student #3

First Name

Last Name

VBS Student #3's Age/Grade-completed

use their current age or the grade that they just completed

VBS Student #4

First Name

Last Name

VBS Student #4's Age/Grade-completed

use their current age or the grade that they just completed

VBS Student #5

First Name

Last Name

VBS Student #5's Age/Grade-completed

use their current age or the grade that they just completed

Secondary Contact

Who should we call if we can not reach the phone # above?

First Name

Last Name

Secondary Contact's Phone #

(###)

###

####

Special instructions or notes?

Is there anything you'd like us to know or do your VBS students require any special accommodations?

2022 VBS Information Page