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

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Permissions

I hearby grant permission for Deep Springs Baptist Church to record sounds, images or video of my child while attending this VBS program. I also give permission for Deep Springs Baptist Church at its sole discretion, to use these sounds, images, or videos in publications (including print websites, and social media platforms) owned by Deep Springs Baptist Church.

Bus Pickup Needed No Yes

I have more students to register