VBS Registration Parent/Guardian's Name (required) Address City, State ZIP Phone Number CellHomeWork Email Address (required) Child's Name (required) Child's Gender (required) MaleFemale Child's Date of Birth (required) Child's Last Grade Completed by Summer 2023 (required) PreschoolKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade Home Church Information Medical Information (medications, allergies, etc.) Emergency Contacts Other Than Listed Above Who Else, If Anyone, May Pick Up Your Child After VBS Each Day? May we have permission to photograph your child during the week for promotions (GRBC Instagram, Twitter, Facebook)? YesNo Δ