Register for VBS

Family Information

Address

Primary Phone

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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

Over-the-Counter Medicines

Please indicate if we have permission to treat your child with these items. This is to prevent allergic reactions to the ointment or Band-Aids.

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Authorized People to Pickup my Child: If you will not be picking up your child, please indicate any names of people authorized to pickup your child from Westview Baptist Church VBS.

Custody Instructions

Details

Photos Allowed

I have more students to register