Salem Campus Preschool VBS Registration
The Preschool portion of VBS is offered to children of VBS volunteers only.  
 
*The deadline to register children for Preschool VBS is June 3rd.*

You may register up to three children on this form.  Please complete a separate form for additional children.
Sign in to Google to save your progress. Learn more
Email *
Parent/Guardian's Name(s) *
Parent/Guardian's Email Address *
Parent/Guardian's Phone Number                                                                                                                     (This is also the number that will be used in the event that we need to contact a parent or guardian during VBS sessions.) *
Where are you serving during VBS? *
Home Address *
Child #1 - Name *
Child #1 - Date of Birth *
MM
/
DD
/
YYYY
Child #1 - Age *
Does your child have any allergies, learning differences, disability or any other special needs of which we need to be aware? *
Child #2 - Name
Child #2 - Date of Birth
MM
/
DD
/
YYYY
Child #2 - Age
Does your child have any allergies, learning differences, disability or any other special needs of which we need to be aware?
Child #3 - Name
Child #3 - Date of Birth
MM
/
DD
/
YYYY
Child #3 - Age
Does your child have any allergies, learning differences, disability or any other special needs of which we need to be aware?
Photo Release Form
Please review the photo release form above. If you agree and accept, please select "Yes" below. If you do not agree, please select "No" below. By checking Yes or No, you understand that this will serve as your signature.  
 *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms