Register for VBS

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

Student Information

Gender

Birth Date

Age Group

Medical Concerns

Details

Food Allergies

Details

Separation anxiety and behavioral issues: Does your child experience separation anxiety or have any behavioral issues that we should be aware of?

Does your child have any friends that they wish to be placed with? **We accommodate friend requests to the best of our ability.

Photo Release Waterway Church has my permission to use my child’s photograph publicly to promote VBS. I understand the images may be used in print publications, online publications, presentations, websites and social media. Names will not be attached to any photographs.

I have more students to register