VBS registration

Register here for our 2020 VBS, Concrete and Cranes!

Skip the registration line during our VBS by filling out this online form! That way when you show up this summer all we have to do is check you in!

Please provide the following information:

* Indicates required field

Name of Child Attending *

First

Last

If more than one child is attending, list others here: *

Age and Grade of Children Attending *

Family Address *

Line 1

Line 2

City

State

Zip Code

Country

Parent/Guardian *

First

Last

Phone Number: *

Parent/Guardian *

First

Last

Phone Number *

Any other Adults Authorized for Pick: *

Emergency Contact: (Name & Number) *

Email *

Emergency Medical Information (Doctors name, Hospital of Choice, Insurance, etc.) *

Additional Information (Allergies, medications, special requests, etc.) *

How did you hear about our VBS? *

Do you have a church home? *

Yes No

If yes, where is your church home? *

Due to the nature of this event, we love to take photos and videos to be able to share the fun and excitement! *

I understand and authorize that my child’s image may be photographed or filmed, and may be used in presentations, printed publications, and displayed on the church website I do not want my child’s image to be used in presentations, printed publications, and displayed on the church website

Submit