Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

If another Parent/Guardian is authorized to pick-up your child, please note their full name, telephone number, and relationship to the child. For security, ID may be required at pick-up.

PAYMENT (No Refunds):

The cost to attend VBS all three days is $24 or $8 per day. Please select the dates student will be attending:

Payment Instructions:

1. Click "Donate" above or Copy + Paste the following link in a new tab: https://calvarynorth.breezechms.com/give/online 2. Enter the correct amount in the payment field 3. Choose "Give to VBS Child Registration” from the drop-down menu 4. Choose “Give this One Time” from the drop-down menu 5. Choose "Give by Credit/Debit Card or ACH/Bank Transfer" from the drop-down menu 6. Click “Continue” and follow the remaining instructions to complete your payment through the secure site

Student Information

Gender

Birth Date

Age Group

T-Shirt Size Youth XS Youth S Youth M Youth L Youth XL Please note: If the wrong t-shirt size is selected on your registration form, an additional $5 will be required to cover the cost of a replacement shirt.

Food Allergies

Details

Medical Concerns

Details

Photo & Media Release:

I have more students to register