VBS 2022

DATES: June 29 -July 1
TIME: 6:30-8pm
GRADES: K5-6th

Student Information

* Indicates required field

Student's Name *

First

Last

Parent/Guardian Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number (Home) *

Phone Number (Cell) *

Phone Number (Work) *

Email *

Home Church *

Student's Date of Birth *

Student's Age *

Last grade completed *

Friends or relatives attending VBS *

Special needs/Allergies/Medical Information/Other *

Emergency Contact #1

Name *

First

Last

Relationship *

Phone Number *

Emergency Contact #2

Name *

First

Last

Relationship *

Phone Number *

Dismissal Information *

I give permission for GBC to video and photograph my child that may appear on social media *

Yes No

Submit

VBS INFORMATION
& REGISTRATION

DATES: June 29 -July 1
TIME: 6:30-8pm
GRADES: K5-6th

Student Information

Emergency Contact #1

Emergency Contact #2

PRIZES - GAMES - SNACKS - CRAFTS - BIBLE SONGS & LESSONS

VBS INFORMATION​& ​REGISTRATION

DATES: June 29 -July 1 TIME: 6:30-8pmGRADES: K5-6th

Student Information

Emergency Contact #1

Emergency Contact #2

​PRIZES - GAMES - SNACKS - CRAFTS - BIBLE SONGS & LESSONS

VBS INFORMATION
& REGISTRATION

DATES: June 29 -July 1
TIME: 6:30-8pm
GRADES: K5-6th

PRIZES - GAMES - SNACKS - CRAFTS - BIBLE SONGS & LESSONS