VBS Sign up

VBS Signup

Address*

,  

( )   -

( )   -

such as cell phone

( )   -

( )   -

such as cell

Food Allergies*

Medical Concerns*

( )   -

Names and age

Transportation Need

Attendance*

Permission to photograph:*

VBS Leaders and staff have permission to photograph/film the minor(s) designated above in any manner or form for any lawful purpose associated with this VBS program.