Welcome to Online VBS Registration!

In order to register children for Online VBS, you must first create an account by entering a contact email address, a password and then click the "Create An Account" button. Once you have created an account, you may register as many children as you like. You may also log back in at a later date and add addtional children or edit the information of your already registered children.

Please Login or Create an Account

Your Email Address:

Your Password:
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Registration Instructions:

Enter a child's information in the blank fields below and click the "Add Child" button at the bottom of the form. You may then enter additional children using the same form and clicking "Add Child" each time. Fields marked with an * are required. Other fields are optional. Please note that after you add a child, their information is shown in a table at the bottom of the page where their information may be edited.

Child's Information:

*First Name:
*Last Name:
*Age(years):
Last School Grade Completed:
Allegies and/or Medical Conditions:
*Parent(s)/Legal Guardian(s) Full Name(s):
*Contact Email:
Contact Phone Number (xxx) xxx-xxxx:
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
Notes:
Order Date: (cannot be changed)