July 20, 2025July 25, 2025VBS Registrationby Trusted Website Designin Announcements0 Complete the form below to register online. If you prefer to register using the pdf form, please scroll to the bottom of the page, and complete a separate form for each child you register. Upload each form separately. Thank you. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Section 1Parent or Caregiver *FirstLastParent/Guardian/Responsible AdultEmail *Street Address *City *Zip Code *Home Phone Number *Date07/13/2026Cellphone Number *What church do you attend? *Section 21st Child Name *FirstLast1st Child *Select Grade CompletedPre-K Age 3Pre-K Age 4Pre-K Age 5KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade CompletedGender *BoyGirlADDITIONAL CHILDRENIf you are only registering one child, scroll down to Secton 2.Do You want to Register Another Child? *YesNoChoose Yes or No2nd Child Name *FirstLast2nd Child *Select Grade CompletedPre-K Age 3Pre-K Age 4Pre-K Age 5KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade CompletedGenderBoyGirl+Please NoteWhen Finished Registering Additional Children Scroll to Section 3.3rd Child NameFirstLast3rd ChildSelect Grade CompletedPre-K Age 3Pre-K Age 4Pre-K Age 5KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade CompletedGenderBoyGirl4th Child NameFirstLast4th ChildSelect Grade CompletedPre-K Age 3Pre-K Age 4Pre-K Age 5KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade CompletedGenderBoyGirls5th Child NameFirstLast5th Child *Select Grade CompletedPre-K Age 3Pre-K Age 4Pre-K Age 5KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade CompletedGenderBoyGirls6th Child NameFirstLast6th ChildSelect Grade CompletedPre-K Age 3Pre-K Age 4Pre-K Age 5KindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade CompletedGenderBoyGirlsSection 3Emergency Contact * (other than parent/caregiver): Emergency Phone *Any information VBS staff should know about your child: (i.e allergies, special needs, etc)Date *EmailSubmit Complete Form by Hand
