Register Here for the Stellar Vacation Bible School (June 9-13)

Please enter your child's first name, middle initial, and last name.
Please specify whether the child is a boy or girl.
Please enter your child's age as of the start of VBS, June 19, 2023.
MM slash DD slash YYYY
Please enter your child's birthday.
Please enter the school grade completed by your child this past school year.
Please enter the name of the child's parent(s) or guardian(s) during the week of June 19-22, 2023.
Please enter the street address, city, state, and ZIP code.
Please enter the primary cell phone number for landline of the enrolled child's parent(s) or guardian(s).
OPTIONAL: Enter an additional phone number for the enrolled child's parent(s) or guardian(s).
OPTIONAL: Please enter an email address for the enrolled child's parent(s) or guardian(s).
OPTIONAL: Please enter the child's home church if he or she has one.
Who may pickup your child at the end of each VBS day?
In case of an emergency, please contact this individual first.
Please enter the emergency contact's relationship to the child.
Please enter the emergency contact's best phone number.
Please list any known food allergies your child may have (if applicable).
Please list any other known allergies your child may have (if applicable).
Please list any medical conditions or special needs your child may have that you want our staff to be aware of.
Permission for Treatment of Minor Injuries
Photography & Video (Internal Use Only During VBS Week)