VBS Registration Form

Dear Friends and Families of VBS -

This year, the only way to register for VBS is online here on the website. Paper registration is not available. If you have any trouble registering electronically, please contact the church office and someone will be happy to assist you.

Also - VBS is FREE as always, but this year the registration is FREE until June 30th.

Registration at the door will be $10 per child.

Space may be limited and is subject to change.

So, please register early!  We are doing this to encourage you to register early so that we can prepare all of the materials such as badges, team rosters, crafts, snacks, and have everything in place. We are hoping that this also reduces the registration at the door which has delayed our opening night in the past. Thank you for your cooperation!

On-Line Registration Closes June 30th at Midnight!

VBS Registration Form

VBS 2021 - Registration Form - One Entry per Child Please!

* Indicates required field

Child's Name *

First

Last

Gender? *

Male Female

Nickname for ID Badge *

Parent / Guardian Name(s) *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Home Phone Number *

Cell Phone Number *

Email *

Age *

Date of Birth *

Last Grade Completed *

Allergies or other medical conditions *

In case of emergency, contact: (name, phone if not above) *

Home Church *

Family member(s) or friend(s) to team with? *

Please read and confirm: *

_ I will not hold Plains Church or its volunteers responsible for accident, injury, or illness (including, but not limited to, COVID-19) and I give Plains Church permission to secure medical attention for my child, if needed.

Submit