VBS Registration 2023

Sunday thru Thursday, June 25-29, 2023 | Please fill out this form to register to VBS and click submit.

PARENT INFORMATION

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

How did you hear about GLBC?

*

What is your home church if other than GLBC? (enter "none" if you do not have a home church)

CHILD INFORMATION

Please enter the information for each child participating in Vacation Bible School:

Child 1-

Child #1 Name:

*

Child #1 Age on June 1, 2023:

*

Please select one option.

4 5 6 7 8 9 10 11

Child #1 Grade Completed:

*

Please select one option.

PreK K 1st 2nd 3rd 4th 5th

List any allergies for Child #1:

Child 2 -

Child #2 Name:

Child #2 Age on June 1, 2023:

Please select one option.

4 5 6 7 8 9 10 11

Child #2 Grade Completed:

Please select one option.

PreK K 1st 2nd 3rd 4th 5th

List any allergies for Child #2:

Child 3 -

Child #3 Name:

Child #3 Age on June 1, 2023:

Please select one option.

4 5 6 7 8 9 10 11

Child #3 Grade Completed:

Please select one option.

PreK K 1st 2nd 3rd 4th 5th

List any allergies for Child #3:

Pick Up Information

Please list any individuals other than the adult listed above who are allowed to pick up your child:

Authorized Adults:

Photography Permission:

CLICK HERE TO READ THE FULL PHOTO RELEASE AND PARTICIPATION WAIVER.

I have read and agree to the terms in the photo release and participation waiver:

*

Please select all that apply.

YES

Emergency Contact:

Please enter the name, relationship to the child, and cell phone number of an emergency contact.

*

Description

Sunday thru Thursday, June 25-29, 2023

Please fill out this form to register to VBS and click submit.

Please Fix the Following

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