VVCC 2017 VBS Registration

Please bring your shin guards, soccer balls, and poms with your name on them.

Children If using Internet Explorer, Safari or Firefox, all date formats are yyyy-mm-dd.

Child 1




Date of Birth  

SoccerCheerleading/Dance
Child 2




Date of Birth  

SoccerCheerleading/Dance
Child 3




Date of Birth  

SoccerCheerleading/Dance

Parent/Guardian



Contact Information







(if different than parent or guardian)

Allergies or special needs

Photo permission

May we have your permission to use your child's picture on social media & church promotions for VBS?  

Signature

By signing I give my child permission to participate in any and all Vacation Bible School activities.