Register for VBS

Family Information

Address

Primary Phone

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

SHIRT SIZE Youth Small Youth Medium Youth Large Youth XL Adult XS Adult Small Adult Medium Adult Large Adult XL Adult XXL

Food Allergies

Details

Medical Concerns

Details

CHILD PHOTO & SOCIAL MEDIA RELEASE WAIVER

I grant permission for my child to be photographed, filmed, or recorded during the above event or activities. I understand and agree that these images and recordings may be used by the organization for purposes including, but not limited to: Social media (Facebook, Instagram, etc.) Website and online content Promotional materials and advertisements Printed publications (flyers, brochures, newsletters)

I have more students to register