VBS Registration HiddenChild's Name (click the + to add additional children):(Required)First NameLast Name Add RemoveChild's Name(Required) First Last Parent/Guardian Name(Required) First Last Address(Required) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mailing Address (if different) Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone - Cell(Required)Phone - HomePhone - WorkEmail(Required) Child's Birth Date(Required) Last grade completed in school:(Required) Medical or other information we need to know (please include any food allergies):First Emergency Contact: Name(Required) First Last First Emergency Contact: Phone(Required)Second Emergency Contact: Name First Last Second Emergency Contact: PhoneWho may pick up your child at the end of each VBS day?(Required)Do you attend Sunday School? If so, where?(Required)If you are visiting our church, who are you a guest of? May we have permission to photograph your child?(Required) Yes No May we have permission to use your child's photograph for the purpose of promotion?(Required) Yes No EmailThis field is for validation purposes and should be left unchanged. Δ