Register for VBS

Family Information

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

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Permission to Use Image/Video I hereby grant permission for The Village Church and Byron Baptist Church to record sounds, images, or video of my child while attending The Incredible Race. I also give permission for The Village Church and Byron Baptist Church at its sole discretion, to use these sounds, images, or videos in publications (including print, websites, and social media platforms) owned by The Village Church and Byron Baptist Church.

Address

I have more students to register