VBS Registration

Child’s Full Name
Mailing Address
Postal Code
Phone Number
Age
Birth Date (mm/dd/yy)
Grade in Fall 2007
Emergency Contact/Relationship
Emergency Phone
Allergy/Health Information
Church Affiliation (if any)
How you found out   about VBS	(poster, website, flyer in mailbox, personal letter, friend’s name, etc.)
Please fill out one form per child.

More info about VBS