VBS Student Registration Please enable JavaScript in your browser to complete this form.Your Name *FirstLastStudent 1 Name *Student 1 Birth Date *Student 2 NameStudent 2 Birth DateStudent 3 NameStudent 3 Birth DateStudent 4 NameStudent 4 Birth DateEmergency Contact 1 *FirstLastEmergency Contact 1 Phone Number *Emergency Contact 2FirstLastEmergency Contact 2 Phone NumberDo any of these children have allergies or medical concerns? If so, please describe.Who will be bringing your child(ren) to VBS?Who can pick up your child(ren) from VBS?May we take photographs of your child to be used in the closing service? *YesNoIs there anything else you would like us to know?MessageSubmit