VBS Registration 2025

Child Information

First name *

Last name *

Age *

Grade child will be in *

Medical or other information we may need to know:

Food Allergies

May we have permission to photograph your child *

Yes

No

May we have permission to use your child's image on social media *

Yes

No

First Name *

Last Name *

Email *

Phone *

I, the parent/guardian of said child, give permission to release my child to the following:

Name

Phone Number

Name

Phone Number

Name

Phone Number

Sunday Morning Sunday School Worship & Service	10:00AM 11:00AM
Sunday Evening Worship & Service	6:00PM
Wednesday Evening Prayer Service	6:00PM