VBS 2024 Worker's Child Registration

June 3rd - 6th 8:30 am to 12:00 pm | Please fill out this form and click submit.

Online pre-registration will be open through May 31st. In-person registration will open Monday June 3rd beginning at 8:00am. VBS begins at 8:30 am and goes until 12:00pm daily.

Parent/Guardian Information

Name

*

I am a VBS volunteer for HBC.

*

Please select all that apply.

Yes No I would lIke to be, please contact me.

Email

*

This address will receive a confirmation email

Phone

*

Address

*

May we photograph your child(ren) for VBS slideshow purposes only?

*

Please select one option.

Yes No

Does your family regularly attend church?

*

Please select one option.

Yes No

If so, where?

*

Child Registration

Child First Name

*

Child Last Name

*

Gender

*

Please select one option.

Male Female

Child's Date of Birth

*

Grade Completed (As of May 2024)

*

Please select one option.

K5 1st 2nd 3rd 4th 5th Baby/Toddler 2 yr old 3K 4K

Please list any allergies we should be aware of or special conditions that may impact their attendance.

Allergies or Conditions

Emergency Contact

*

Emergency Contact Phone

*

You may list up to 2 additional adults who may pickup your children. (other than yourself and the emergency contact)

Additional Pickup #1

Additional Pickup #2

If you have additional children to register, please submit another form. Thank you!

Description

June 3rd - 6th 8:30 am to 12:00 pm

Please fill out this form and click submit.

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