Register for VBS

Family Information

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

Free Family Dinner must have adult to attend We are serving dinner to all families before the program. Please check if you will join us to eat at 5pm.

Checking this box grants us permission that we can use your child or family photo, images, or videos in publications (including print, websites, and social media platforms) owned by GLBC.

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Student T-Shirt size Youth XS Youth S Youth M Youth L Youth XL Adult S Adult M Adult L Adult XL

What to wear: We plan on outdoor/water games, please dress accordingly. Bring a towel/change of clothes for the car.

I have more students to register