Register for VBS

Family Information

Address

Primary Phone

Alternate Phone

Relationship to Student Father Mother Grandfather Grandmother Great-grandfather Great-grandmother Brother Sister Uncle Aunt Guardian Foster Parent Granduncle Grandaunt Other

Phone Number

Student Information

Gender

Birth Date

Age Group

Food Allergies

Details

Medical Concerns

Details

Social Media Permission I give Pell City Bible Methodist Church permission to photograph the events at VBS that include my child and post online to their public Facebook Page. (You as a parent/guardian are welcome to access and view these to see what fun we're having this week!)

I have more students to register