VBS Elementary Registration – Highland Presbyterian Church

Please submit a registration form for each child that will be attending our Vacation Bible School.
ALL Fields Are Required

"*" indicates required fields

Child's Name*

First Last

Your Email Address*

Child's Date of Birth*

Child's Current Age*

Grade Entering Fall 2024*

Child's Tee Shirt size*

Child's Address*

Street Address Address Line 2 City State ZIP Code

Parent or Guardian Name*

First Last

Name of Adult Picking Up Child*

First Last

Emergency Contact Phone Number*

Does Child Have Any Special Needs*

Yes

What Are The Special Needs?*

Does Child Have Any Allergies?*

Yes

Please List Allergies*

There will be a free lunch each day after VBS for the children and their families.

Please let us know which days you will be staying for lunch.*

Please let us know how many from your family will be at lunch for each day you will be at lunch.*

CAPTCHA

Comments

This field is for validation purposes and should be left unchanged.