VBS Registration Page

Western Heights VBS Registration Form

Registration form for VBS at Western Heights Baptist Church.

Parent or Guardian's Name

Your Name(Required)

First Last

Your Address(Required)

Street Address Address Line 2 City ZIP Code

Parent's Phone Number

Best way to contact you in an emergency

Phone Number(Required)

Your Email Address(Required)

Email Address Confirm Email Address

Child's Name

Child's age and last grade completed

Child's Name

Child's age and last grade completed

Child's Name

Child's age and last grade completed

Additional Information

Does your child (or children) have any allergies or other medical conditions that we should be aware of? Is so, please list them here. If you are registering more than one child, be sure to give their name when addressing these issues.