VBS 2025

Child's Name(Required)

First Last

Mother's Name(Required)

First Last

Father's Name(Required)

First Last

Parent's Email(Required)

Enter Email Confirm Email

Father's Phone(Required)

Mother's Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Emergency Contact (NOT a parent)(Required)

First Last

In case we can not reach you in an emergency, whom would you like us to contact?

Emergency Contact's Relationship to the child(Required)

Emergency Contact's Phone(Required)

Grade Completed(Required)

Child's Age(Required)

Siblings Attending VBS(Required)

This is a required field, if your child has no siblings attending VBS, please enter "None".

How many in your family will be eating supper with us most days(Required)

Home Church (if applicable)(Required)

This is a required field, if you and your family do not have a church home, please just enter "None".

How did you hear about this event?(Required)

Allergies(Required)

This is a required field, if your child does not have any allergies, please just enter "None".

Medical/Special Needs(Required)

This is a required field, if your child does not have any medical/special needs, please enter "None".

Family Doctor(Required)

This is a required field, if your child does not have a family doctor, just enter "None".

Doctor's Phone(Required)

This is a required field, if your child does not have a family doctor, please just enter zeros

Name

This field is for validation purposes and should be left unchanged.

VBS 2025 Registration