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

Photo Release Yes No The Landing Church has my permission to use photos and/or videos of my child(ren) taken throughout the week at VBS, in print or online, as a way of sharing how the Lord has worked through the ministry. Please note: NO NAMES will be included.

Student Information

Gender

Birth Date

**Please Note**

Age Group

Food Allergies

Details

Medical Concerns

Details

I have more students to register