VBS K-5th Grade Registration – Good Shepherd Lutheran Church

Participant's Name *

First

Last

Name of church you attend:

Birthday *

MM/DD/YYYY

Age - by June 7, 2026 *

Grade Completed

Parents' Names

Address *

Please enter your street address, city, state/region, postal/zip code and country.

Phone *

(###) - ### - ####

Name of Secondary Contact Person

First

Last

Phone Number for Secondary Contact Person

(###) - ### - ####

Parent Email *

Does your child have food allergies? Please list. *

Does your child have any medical or behavioral issues that we should know about.

Names of adults who are allowed to pick my child up from VBS. *

If your child is attending VBS as a guest please include the friend's name.

Photo Release - VBS leaders have permission to photograph or film my child while participating in VBS activities. Photos or video may be used to share about the VBS program in the bulletin, newsletter, church website and church Facebook page. *

Would you be interested in serving as a volunteer at VBS?

YES! Please sign me up!
No. Maybe next year!

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