Event Registration

Register for our VBS by filling out the information below:

(July 30 - August 2, 2018, 6:00pm - 8:00pm, check-in at 5:45)

Please Note: VBS is for children ages 4 through 8th grade. For ages 3 and younger, childcare is availale for volunteers only. Thank you for your understanding.

Parent's First Name

Parent's Last Name

Your contact info:

Email Address

Phone Number

What is the best way to reach you?

Phone

Please enter your full address:

Street Address

City

State

Zip Code

Please List the NAME, BIRTHDATE, and GRADE to be entered in fall 2018 of all children attending. If you are a volunteer and have children 3 years of age or younger, please include below, also:

(i.e. Jane, 5/6/08, 5th Grade)

Child 1

Child 2

Child 3

Child 4

Child 5

Was your chld invited by a friend? If so, list the friend's NAME and GRADE they are entering in the fall of 2018.

Please Note Any Allergies or Special Needs as it relates to a specific child. Please be as clear and detailed as possible.

By Checking this Box, you verify that you are the legal guardian of each child registered and the primary emergency contact.

I Verify That I am the Legal Guardian

Success! Your child(ren) have been registered for Southland's 2018 VBS: "Shipwrecked ... Rescued by Jesus." ***IMPORTANT INFORMATION *** Please write these details down before closing: * The dates are Monday, July 30 through Thursday, August 2. * Opening sessions begin at 6pm each evening. * Check-in will start at 5:45pm each evening. * Closing sessions end at 8pm each evening. * We will have light snacks each evening, but no dinner.