Register for VBS

IMPORTANT

Family Information

Address

Primary Phone

EMERGENCY CONTACT

Phone Number

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

How did you hear about VBS? School Road Signs/Flyers FB/Social Media Family/Friends Members of Parkland URC (N/A) Attended in Past Other

Student Information

Gender

Birth Date

Grade Entering

Select below, what grade is this child entering this fall of 2026?

Age Group

Attendance Plans

Attendance Please select the days you 'plan' on attending so we can be prepared with enough crafts and snacks for all to enjoy! If you aren't sure, please select every day. *Please note - You are invited! Join us on the Thursday evening for our closing program, where your children can show you what they have been learning! **Supper will be provided** RSVP below if you plan on enjoying supper with us so we can be prepared with enough for all to enjoy!

Child Details

Food Allergies

Details

Medical Concerns

Details

Custody Instructions

Details

Picture Release

Please check the box below if your child is allowed to be photographed for the purpose of creating a slideshow of our week for our VBS closing program on Thursday evening.

Photos Allowed

I have more students to register