VBS 2025 Registration Form

WGBC VBS 2025 Registration Form

One form must be completed per child.

Child's First Name

Child's Last Name

Birthdate

Child's Age

Last School Grade Completed

Parent's/Guardian's Name

Parent's/Guardian's Last Name

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Email

Phone Number

Emergency Contact First Name

Emergency Contact Last Name

Relationship to Child

Phone Number

Allergies or Medical Conditions

Home Church Name