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

Permission To Use Images and Videos

If you selected yes, you hereby grant permission for Kenwood Baptist Church to record sounds, images or video of your child listed in the registration while attending this VBS program. I also give permission for Kenwood Baptist Church as its sole discretion, to use these sounds images, or videos in publications (including print, website, and social media platforms.

Kenwood Baptist Church VBS Drop-Off & Pick-Up Policy

I have more students to register