Register for VBS

Family Registration Form

Primary Phone

Alternate Phone

Address

Street

Emergency Contact Phone Number

May we put your child/ren's photo on the church's website?

How did you hear about us?

Other - please explain

Details

Student Registration Form

Gender

Age Group

If your child has any ALLERGIES, please check this box, and a pop-up box will appear, in which you can note the allergy, and explain its severity, as well as the protocol to deal with it. This is especially important if your child has any SEVERE or LIFE THREATENING allergies such as bee stings, food, penicillin, other medications ... Please include food allergies, so that we are aware, as we do provide snacks twice a day.

Details

If your child has any MEDICAL CONCERNS, please check the box. A details box will appear below. In the box, explain what they are, and how to deal with them.

Details

If your child has any OTHER CONCERNS, such as learning disabilities, ADHD ... that our staff should be aware of, which will help us to make your child more comfortable and enable us to more effectively teach him/her, please check the box. A details box will appear, in which you can expand upon these concerns.

Details

Is your child bringing any medication with him/her? (ex. inhaler, epipen) If yes, please check, and a pop-up box will appear. In it you can note the medication, its purpose, and any instructions for staff.

Details

I have more students to register