VBS Registration

Ages 3 to entering 5th Grade

You can register up to two children with each submission

    Child's Name (last name first)

    Child's age

    Child is entering grade

    Allergies (if any)

    Child's Name (last name first)

    Child's age

    Child is entering grade

    Allergies if any

    Parent's Name (last name first)

    Your Email (required)

    Phone Number (required)

    Emergency Contact Name and phone (in case you can not be reached)

    Alternate Emergency Contact Name and Phone

    Who will be picking the child up? (please provide all names)

    Church affiliation

    St. ThomasOtherNone

    Any additional information you would like to provide