VBS Kids Registration Form

Working…

Please wait while we process your request.

🎟️ Open Registration

35 spots remaining

out of 35 total

Parent

Children

Emergency

Waiver

Review

👨‍👩‍👧‍👦 Parent/Guardian

Tell us who to contact for updates.

Parent First Name *

Parent Last Name *

Parent Email *

We'll send VBS updates and confirmation to this email

Parent Phone *

For important VBS communications only

🎈 Children

Add each child who will attend VBS.

🎈 Child #1

Child First Name *

Child Last Name *

Birthdate *

Used to determine appropriate age group

Age *

Ages 4-11 are eligible

Completed Grade *

Grade your child just completed

Gender *

Allergies/Medication *

This helps us keep your child safe and comfortable

Medical Conditions (e.g., Asthma, Diabetes) (Optional)

Special Needs or Accommodations (Optional)

Any special accommodations needed for your child

Days Child Will Be Absent (Optional)

Special grouping requests *

Children are placed in groups by our team to keep crews balanced. We only consider grouping requests for genuine extenuating circumstances — for example, a child with significant anxiety who needs a sibling nearby, or a special needs accommodation. Requests are reviewed case-by-case and are not guaranteed. If this applies to your family, briefly describe the circumstance below. If this does not apply to your family, simply type N/A.

🚨 Emergency Contact

Who should we contact in an emergency?

Emergency Contact Name *

Emergency Contact Phone *

Emergency contact number (different from parent)

Relationship to Child *

📝 Permissions & Waiver

Please review and accept the following for each child.

Complete the Children step to see waivers.

🎯 Review & Submit

Almost done!

📋 Registration Summary

Complete prior steps to see a summary.

🎉

Free Registration

Submit your information and you're all set!