June 16-20, 2025
8:30am -12:00pm

Register online below or in person on June 16th 8am

(830) 751-2006

Parent/Guardian Name *

First

Last

Child’s Name *

First

Last

Date of Birth *

Last grade completed in school *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number *

Work Number

Email *

Medical Information *

Medical or other information we need to know. (Please include any food allergies.)

Emergency Contacts (other than listed above) *

Names & Phone numbers

Dismissal Information

First

Last

Who may pick up your child at the end of each VBS day?

Dismissal Information (copy)

First

Last

Who may pick up your child at the end of each VBS day?

Does your child attend Sunday School? If so where?

If your child is visiting our church, who is he a guest of?

First

Last

May we have permission to photograph your child? *

Phone