VBS 2025 Online Registration

Child's full name:

Child's age:

Select the group the best applies for child:
--- Please Select ---2 to 3 years olds4 to 5 year oldsCompleted Kindergarten - 2nd GradeCompleted 3rd grade - 4th GradeCompleted 5th grade - 6th Grade

Full Name of Parent or Guardian:

What is the best phone number to reach you?

Contact Email:

What is your NC county of residence?:

Enter an emergency contact, including name, phone number, and relationship:

Child's shirt size?
--- Please Select ---X-SmallSmallMediumLargeX-LargeXX-Large

Does child have food allergies or medical concerns?
--- Please Select ---YesNo

If child has food allergies or medical concerns, please describe:

Full name and relationship of person who may pick up child from VBS (other than parent/guardian entered above):

If child has siblings also attending, please enter full names:

If you have a home church, please enter?: