VBS Registration VBS registration is open for children ages 4 – 6th grade. Parent's Name* First Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact*Emergency Phone*Church Attended*How did you hear about us?*FriendSignMailInternetOtherNumber of Children12345Child #1Child's Name First Last Child's AgeChild's GradeChild's BirthdateAllergies/Medical InformationChild #2Child's Name First Last Child's AgeChild's GradeChild's BirthdateAllergies/Medical InformationChild #3Child's Name First Last Child's AgeChild's GradeChild's BirthdateAllergies/Medical InformationChild #4Child's Name First Last Child's AgeChild's GradeChild's BirthdateAllergies/Medical InformationChild #5Child's Name First Last Child's AgeChild's GradeChild's BirthdateAllergies/Medical Information
