Register for VBS

Family Information

Address

Primary Phone

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

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

I give permission to TDAC for the use of pictures containing my child in any promotional material including but not limited to; brochures, social media, and images shown in Church services

VBS Waiver Form

As parent/guardian of this child I am in agreement to the above statement

I have more students to register