Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

How did you learn about VBS at Central Baptist Church? ------ Social Media Invited by Church Member Public Promotion I attend church at CBC

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

T-Shirt Size Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL

Permission

May we share video and/or photos of your child from this VBS event on Social Media?

I have more students to register