VBS Registration

* Indicates required field

Parent's Name *

First

Last

Child's Name *

First

Last

Parent's Email *

Parent's Phone Number *

Child's Birthday and Age *

Child's Gender *

Male Female

Has the child attended VBS before? *

Yes No

Home Church (if applicable) *

Family Address *

Line 1

Line 2

City

State

Zip Code

Country

Emergency Contacts: Please give two names and phone numbers of adults who are allowed to pick up your child. *

Known Food or Medication Allergies: *

VBS photos/videos are taken for promotional purposes related to South Gate Fellowship and Vacation Bible School. These pictures appear in various media outlets such as The News and our facebook page and webpage. Do you allow your child to be included in these photos/videos? *

Yes No

Any additional information you desire VBS staff to know? *

Submit

VBS Registration

Staff Resources