Register for VBS

Family Information. (If registering more than one child, You can do so at the end of the form)

Primary Phone

Alternate Phone

Address

Emergency Info

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Church Info

We are looking for a church home

Student Information

Gender

Birth Date

Age Group

Medical Info

Food Allergies

Details

***IF YES, PARENTS MUST PROVIDE ALTERNATIVE SNACKS FOR CHILD***

Medical Concerns

Details

Photography

Social Media Release

Van Ride Note

IF YOU NEED A RIDE, PLEASE CALL TRINITY BAPTIST @ 432-267-6344

I have more students to register