Please fill out the below information to enroll your kids in Vacation Bible School. If you have more than three kids in your household, feel free to register the first three on the form, and submit it. Then return and do it again for the remaining children.

If you plan to bring friends or neighborhood kids, please fill out a separate form for these children. Fill in the child’s parent or guardian name, home phone number, and address. Then fill in yourself as the additional contact and person able to pick up the child. Be sure to ask if they have medical needs or food allergies.

Parent Or Guardian Name *

First

Last

Parent or Guardian Contact Phone *

Parent or Guardian Address *

If you want additional persons as emergency contacts, or to be able to pick up your kids, please list them here with phone numbers

First Child Name *

First

Last

First Child Medical Information, Including Food Allergies

First Child VBS Class - Please indicate grade last completed *

• Kindergarten
• 1-2 Grade
• 3-4 Grade
• 5-6 Grade

Second Child Name

First

Last

Second Child Medical Information, Including Food Allergies

Second Child VBS Class - Please indicate grade last completed (copy)

• Kindergarten
• 1-2 Grade
• 3-4 Grade
• 5-6 Grade

Third Child Name

First

Last

Third Child Medical Information, Including Food Allergies

Third Child VBS Class - Please indicate grade last completed (copy) (copy)

• Kindergarten
• 1-2 Grade
• 3-4 Grade
• 5-6 Grade

Sign us up!

By attending VBS you are agreeing that your children may be incidentally photographed by the church or other parents during the course of the event. Photos taken by the church, if any, will only be used internally by the church and not accessible to the public.