Register for VBS

Family Information

Address

Primary Phone

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Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Custody Instructions

Details

Photos Allowed

Drop Off/Pick Up Permission In the space above, please list (first, last name, relation to child) any other people whom you approve to pick up your child(ren) from VBS. If you would like to allow your child to check out and go home without a supervising adult, please write their name as well.

Permission Form View Waiver

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