Register for VBS

Family Information

Primary Phone

Alternate Phone

Address

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

Phone Number

I give permission to the staff of St. Andrew's Christian Church to seek medical attention for my child if necessary while participating in Vacation Bible School

List Person(s) authorized to pick up child

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

I give permission for St. Andrew's Christian Church to use my child's image for their Church Website, Facebook pages and future promotions.

I understand I will be contacted if my child is placed on a waitlist.

I have more students to register