Register for VBS

Family Information

Address

Alternate Phone

Primary 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

T-Shirt for Craft Project

Please send your child with a plain white T-shirt on the first day of VBS to be a craft project during the week.

Photography Consent I understand that by registering my child(ren) I agree that photos of my child(ren) may be taken and used on Circleville Church's website, Facebook pages, and promotional material, both digitally and/or printed.

I have more students to register