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

permission to photograph yes no I give permission for photographs of my children taken at VBS to be used on the church social media accounts and for future advertising purposes

Church First Mennonite Berne Evangelical Other (please specify below) none

Student Information

Gender

Birth Date

Age Group

***grade just finishing***

Food Allergies

Details

Medical Concerns

Details

I have more students to register